Skilled nursing facility · CMS certification number 385161
MILTON FREEWATER HEALTH AND REHABILITATION
MILTON FREEWATER, Oregon · Medicare and Medicaid
Certified beds, as filed in Care Compare: 70
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,278.00 · Payment denials: 0. The most recent penalty on file: August 7, 2025, Fine, $8,278. 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 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,426,603 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,271,369 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,697,972 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,673,107 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $24,865 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,230 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $26,095 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $26,096 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,228 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,466 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 7,152 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,051 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 9,669 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 21 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 12 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 223.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435312, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for August 31, 2023 to December 31, 2023 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,448,679 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$319,186 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,767,865 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,957,639 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$189,774 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$189,772 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$189,772 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,255 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 16 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 268.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 203.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394926, 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 August 29, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,330,610 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$331,037 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,661,647 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,683,208 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,021,561 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $93,538 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$928,023 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$928,022 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,565 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 179.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363473, 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 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,166,647 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$69,619 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,236,266 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,797,161 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$560,895 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $409,258 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$151,637 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$151,636 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,773 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 6,064 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 237.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331111, 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 November 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,106,171 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $160,094 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,946,077 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,530,806 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$584,729 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $422,705 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$162,024 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$162,023 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,859 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 321.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303966, 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 July 22, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,143,381 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $809,547 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,333,834 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,459,186 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$125,352 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $178 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$125,174 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$125,173 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,934 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 303.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1261038, 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 July 22, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,282,318 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $972,083 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,310,235 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,133,332 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $176,903 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $879 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $177,782 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $177,782 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,178 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 230.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237847, 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 July 20, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,476,571 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,187,983 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,288,588 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,147,567 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $141,021 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $991 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $142,012 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $142,012 (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 | 129 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,952 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 204.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1201755, 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 July 24, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,016,778 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $281,659 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,735,119 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,872,332 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$137,213 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $704 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$136,509 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$136,509 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,853 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 153 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 117.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170500, 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 July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,400,989 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $282,232 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,118,757 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,223,998 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$105,241 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $656 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$104,585 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$104,585 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,618 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 128.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1134239, 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 June 23, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,437,330 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $285,550 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,151,780 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,712,190 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $439,590 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,041 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $440,631 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $440,631 (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 | 129 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,085 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 270.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1099552, 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 July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,789,584 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $222,839 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,566,745 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,456,257 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $110,488 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,333 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $111,821 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $111,821 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,642 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 444.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1072682, 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 July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,992,470 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $152,791 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,839,679 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,121,337 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$281,658 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,294 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$280,364 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$280,364 (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 | 129 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,624 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 255.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042248, 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 September 25, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,197,105 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $104,419 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,092,686 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,268,775 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$176,089 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $814 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$175,275 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$175,275 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,876 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 240.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1012093, 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 12, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $3,176,902 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,225 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 158.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 83.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415332, 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 22, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,743,601 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,614,497 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $129,104 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $713 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $129,817 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,958 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 178 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 152.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 78.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 383157, 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 5, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,536,586 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,664,615 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$128,029 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $742 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$127,287 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,637 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 168.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353842, 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 August 13, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,076,424 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,185,720 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$109,296 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,926 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$97,370 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,575 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 280.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 165.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323806, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 16, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,259,384 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,501,280 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$241,896 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $310,670 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $68,774 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,018 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 236.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292054, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 22, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,295,517 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,422,158 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$126,641 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,008 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$99,633 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,011 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 146 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 238.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261610, 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 August 12, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,916,855 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,011,297 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$94,442 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,179 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$64,263 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,946 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 104 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 442.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 172.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230656, 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 September 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,308,417 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,310,144 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,727 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,784 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $23,057 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,198 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 313 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 174.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194173, 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 March 5, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,207,100 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,295,462 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$88,362 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,076 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$70,286 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,755 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 110 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 309.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 143.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 170321, 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 | $2,007,695 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,287,038 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$279,343 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,823 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$277,520 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,243 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 267.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159262, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,343,852 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,578,399 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$234,547 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,428 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$193,119 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,330 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 341.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 170.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 114383, 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 June 7, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,573,568 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,694,434 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$120,866 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,117 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$71,749 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,775 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 275.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 153.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51569, 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, settled with audit, processed by CMS on September 29, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,923,167 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,928,971 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,804 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $106,800 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $100,996 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,019 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 435.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 174.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51567, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for May 1, 1997 to December 31, 1997 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled with audit, processed by CMS on November 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,115,274 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,068,784 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $46,490 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $918 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $47,408 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,836 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 393.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51565, 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, settled, processed by CMS on October 7, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,932,126 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,764,888 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $167,238 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,150 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,716 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $166,672 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,204 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 188.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51563, 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 |
|---|---|---|---|---|
| ASHBY, WILLIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| CHAMBERS, RANDY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/02/2025 |
| COUVE HEALTHCARE CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/02/2025 |
| FREEWATER OREGON LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/02/2025 |
| HYDE, DEIDRE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| ODENTHAL, JASON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| PNW 12 OPCO MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/02/2025 |
| PNW 12 SNF CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/02/2025 |
| SPIELMAN, SHIMON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| MILTON FREEWATER SNF OPERATIONS, LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| ASHBY, WILLIAM | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/31/2023 |
| CH PNW 12 HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| CHAMBERS, RANDY | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| FREEWATER OREGON LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| HERZKA, YISROEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/31/2023 |
| HYDE, DEIDRE | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/31/2023 |
| ODENTHAL, JASON | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/31/2023 |
| PNW 12 OPCO MANAGEMENT LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| PNW 12 SNF CONSULTING LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/31/2023 |
| WITZCORP PNW 12 LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/31/2023 |
| ODENTHAL, JASON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/31/2023 |
| ASHBY, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| CHAMBERS, RANDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| HYDE, DEIDRE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| MILTON FREEWATER SNF OPERATIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| ODENTHAL, JASON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| PNW 12 OPCO MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| PNW 12 SNF CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MILTON FREEWATER SNF OPERATIONS, LLC (enrollment ID O20231026002492).
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 |
|---|---|---|---|---|---|
| COUVE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/2/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| COUVE HEALTHCARE CONSULTING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/2/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DEIDRE HYDE | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FREEWATER OREGON LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/2/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON ODENTHAL | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PNW 12 OPCO MANAGEMENT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/2/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| PNW 12 SNF CONSULTING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/2/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| RANDY CHAMBERS | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHIMON SPIELMAN | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM E ASHBY | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YITZCHOK YENOWITZ | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MILTON FREEWATER SNF OPERATIONS, LLC | Organization | DIRECT OWNERSHIP INTEREST | 0 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLC | Organization | DIRECT OWNERSHIP INTEREST | 100 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CH PNW 12 HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 66.5 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| COUVE FINANCIAL SERVICES LLC | Organization | INDIRECT OWNERSHIP INTEREST | 0 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| COUVE HEALTHCARE CONSULTING LLC | Organization | INDIRECT OWNERSHIP INTEREST | 0 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| DEIDRE HYDE | Individual | INDIRECT OWNERSHIP INTEREST | 0 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FREEWATER OREGON LLC | Organization | INDIRECT OWNERSHIP INTEREST | 0 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON ODENTHAL | Individual | INDIRECT OWNERSHIP INTEREST | 0 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PNW 12 OPCO MANAGEMENT LLC | Organization | INDIRECT OWNERSHIP INTEREST | 0 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| PNW 12 SNF CONSULTING LLC | Organization | INDIRECT OWNERSHIP INTEREST | 0 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| RANDY CHAMBERS | Individual | INDIRECT OWNERSHIP INTEREST | 0 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHIMON SPIELMAN | Individual | INDIRECT OWNERSHIP INTEREST | 0 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM E ASHBY | Individual | INDIRECT OWNERSHIP INTEREST | 0 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WITZCORP PNW 12 LLC | Organization | INDIRECT OWNERSHIP INTEREST | 25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YISROEL E HERZKA | Individual | INDIRECT OWNERSHIP INTEREST | 66.5 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YITZCHOK YENOWITZ | Individual | INDIRECT OWNERSHIP INTEREST | 25 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | INDIRECT OWNERSHIP INTEREST | 3 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 2.25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 1 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 2.25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 3 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 2.25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 2.25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| No owner named in the filing | Individual | INDIRECT OWNERSHIP INTEREST | 1 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON ODENTHAL | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COUVE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| COUVE HEALTHCARE CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| DEIDRE HYDE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON ODENTHAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MILTON FREEWATER SNF OPERATIONS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| PNW 12 OPCO MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| PNW 12 SNF CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| RANDY CHAMBERS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHIMON SPIELMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM E ASHBY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YITZCHOK YENOWITZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2026: HAROLD PERLMAN no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HAROLD PERLMAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HAROLD PERLMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- July 1, 2025: PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHIMON SPIELMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: YISROEL E HERZKA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: YITZCHOK YENOWITZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: YITZCHOK YENOWITZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LEO SATRIAWAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LEO SATRIAWAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CH PNW 12 HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: WITZCORP PNW 12 LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JASON ODENTHAL (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JASON ODENTHAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JASON ODENTHAL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JASON ODENTHAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHIMON SPIELMAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHIMON SPIELMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PNW 12 SNF CONSULTING LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PNW 12 SNF CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PNW 12 SNF CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DEIDRE HYDE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DEIDRE HYDE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DEIDRE HYDE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: YISROEL E HERZKA (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: YITZCHOK YENOWITZ (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: YITZCHOK YENOWITZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MILTON FREEWATER SNF OPERATIONS, LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MILTON FREEWATER SNF OPERATIONS, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: COUVE FINANCIAL SERVICES LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: COUVE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PNW 12 OPCO MANAGEMENT LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PNW 12 OPCO MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: HAROLD PERLMAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: HAROLD PERLMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: HAROLD PERLMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CH PNW 12 HOLDINGS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RANDY CHAMBERS (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RANDY CHAMBERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RANDY CHAMBERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FREEWATER OREGON LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FREEWATER OREGON LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: COUVE HEALTHCARE CONSULTING LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: COUVE HEALTHCARE CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: COUVE HEALTHCARE CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: WITZCORP PNW 12 LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: WILLIAM E ASHBY (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: WILLIAM E ASHBY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: WILLIAM E ASHBY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2024: EMPRES HEALTHCARE GROUP, INC. EMPLOYEE STOCK OWNERSHIP TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MICHAEL J MILLER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MICHAEL J MILLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: BRENT WEIL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: EMPRES FINANCIAL SERVICES LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: EMPRES FINANCIAL SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: KENDRA WEBB no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: VIKTORIYA DIMAKU no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MIDCAP FINANCIAL TRUST no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: GREATBANC TRUST COMPANY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JUSTIN POLSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: THOMAS P CARDEN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: EMPRES OREGON HEALTHCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: NANI L GRAY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: EMPRES HEALTHCARE MANAGEMENT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: EMPRES HEALTHCARE GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SHIMON SPIELMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SHIMON SPIELMAN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: YISROEL E HERZKA (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: YITZCHOK YENOWITZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: YITZCHOK YENOWITZ (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: YITZCHOK YENOWITZ (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: COUVE FINANCIAL SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: LEO SATRIAWAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: LEO SATRIAWAN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: PNW 12 OPCO MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: CH PNW 12 HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: WITZCORP PNW 12 LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
Recent changes on this record
- March 1, 2026: HAROLD PERLMAN no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HAROLD PERLMAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HAROLD PERLMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 1, 2025: PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHIMON SPIELMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: YISROEL E HERZKA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: YITZCHOK YENOWITZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: YITZCHOK YENOWITZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LEO SATRIAWAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LEO SATRIAWAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CH PNW 12 HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: WITZCORP PNW 12 LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JASON ODENTHAL (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JASON ODENTHAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JASON ODENTHAL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JASON ODENTHAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHIMON SPIELMAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHIMON SPIELMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PNW 12 SNF CONSULTING LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PNW 12 SNF CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PNW 12 SNF CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DEIDRE HYDE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DEIDRE HYDE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DEIDRE HYDE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: YISROEL E HERZKA (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: YITZCHOK YENOWITZ (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: YITZCHOK YENOWITZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MILTON FREEWATER SNF OPERATIONS, LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MILTON FREEWATER SNF OPERATIONS, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: COUVE FINANCIAL SERVICES LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: COUVE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PNW 12 OPCO MANAGEMENT LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PNW 12 OPCO MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: HAROLD PERLMAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: HAROLD PERLMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: HAROLD PERLMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CH PNW 12 HOLDINGS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RANDY CHAMBERS (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 15, 2026 | January 15, 2026 | 5 | 1 |
| 2 | June 28, 2024 | June 28, 2024 | 11 | 2 |
| 3 | April 7, 2023 | April 7, 2023 | 10 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
26 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 15, 2026 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Past Non-Compliance | November 26, 2025 |
| January 15, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Past Non-Compliance | October 6, 2025 |
| January 15, 2026 | 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 | February 10, 2026 |
| January 15, 2026 | 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 | No | Deficient, Provider has date of correction | February 10, 2026 |
| January 15, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | February 10, 2026 |
| August 7, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | August 28, 2025 |
| August 7, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | August 28, 2025 |
| August 7, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | August 28, 2025 |
| August 7, 2025 | 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 | Yes | Deficient, Provider has date of correction | August 28, 2025 |
| June 28, 2024 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | No | Deficient, Provider has date of correction | August 12, 2024 |
| June 28, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | August 12, 2024 |
| June 28, 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 | August 12, 2024 |
| June 28, 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 | August 12, 2024 |
| June 28, 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 | August 12, 2024 |
| June 28, 2024 | 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 | August 12, 2024 |
| June 28, 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. | E | Yes | Deficient, Provider has date of correction | August 12, 2024 |
| June 28, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | August 12, 2024 |
| April 7, 2023 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | No | Deficient, Provider has date of correction | May 22, 2023 |
| April 7, 2023 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | No | Past Non-Compliance | March 3, 2023 |
| April 7, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | May 22, 2023 |
| April 7, 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 | May 22, 2023 |
| April 7, 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 | May 22, 2023 |
| April 7, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Past Non-Compliance | March 3, 2023 |
| April 7, 2023 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | May 22, 2023 |
| April 7, 2023 | 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 | May 22, 2023 |
| April 7, 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | May 22, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| August 7, 2025 | Fine | $8,278 | 134349 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | MILTON FREEWATER SNF OPERATIONS, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1984-01-20 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Umatilla |
| Telephone Number | 5419383318 |
| Chain Name | EVERGREEN HEALTHCARE GROUP |
| Chain ID | 846 |
| 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 | 70 |
| Average Number of Residents per Day | 31.8 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 1 |
| 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 MILTON FREEWATER HEALTH AND REHABILITATION: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for MILTON FREEWATER HEALTH AND REHABILITATION
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
- THE DALLES LOCK AND DAM, THE DALLES Water discharge permit
- BONNEVILLE PROJECT - USACE, CASCADE LOCKS Water discharge permit
- MCNARY LOCK AND DAM - USACE, UMATILLA Water discharge permit
- JOHN DAY PROJECT - USACE, RUFUS Water discharge permit
- WEED AND ALGAE PEST CONTROL, PORTLAND Water discharge permit
- SPOKANE DISTRICT PROGRAMMATIC NOXIOUS WEED & INVASIVE PLANT MANAGEMENT EA, GRANTS PASS Water discharge permit
- CITY OF MILLERSBURG, ALBANY Water discharge permit
- CITY OF ALBANY, ALBANY 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 385161.