Skilled nursing facility · CMS certification number 385258
EVERGREEN POST ACUTE
PORTLAND, Oregon · Medicare and Medicaid
Certified beds, as filed in Care Compare: 55
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: $4,194.00 · Payment denials: 0. The most recent penalty on file: December 11, 2023, Fine, $4,194. 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 September 1, 2024 to December 31, 2024 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,914,632 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $346,747 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,567,885 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,265,314 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $302,571 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $302,571 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $302,571 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 6,710 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 79 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 4,238 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,171 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 5,488 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 169.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439387, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,748,291 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $979,836 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,768,455 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,329,929 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $438,526 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $934,202 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,372,728 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $465,188 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,054 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 159.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395268, 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 October 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,911,487 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $640,706 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,270,781 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,231,161 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $39,620 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $553,314 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $592,934 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $592,934 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,234 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 167 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 109.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366131, 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 19, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,929,338 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $408,691 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,520,647 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,103,426 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $417,221 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $168,577 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $585,798 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $585,798 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,816 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 192 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 79.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332810, 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 October 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,137,316 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $813,683 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,323,633 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,169,015 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $154,618 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $209,884 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $364,502 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $364,502 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,641 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 71.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 50.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302642, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,176,681 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $711,796 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,464,885 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,035,532 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $429,353 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,516 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $449,869 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $434,469 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,454 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 213 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 108.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1271996, 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 August 6, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,030,103 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,199,833 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,830,270 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,735,888 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $94,382 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,567 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $96,949 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $96,949 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,385 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 220 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 90.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239770, 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 23, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,986,142 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,428,374 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,557,768 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,478,404 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $79,364 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,626 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $80,990 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $80,990 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,280 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 235 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 75.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1201895, 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 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,682,163 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,303,098 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,379,065 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,297,320 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $81,745 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,075 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $86,820 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $86,820 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,931 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 242.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169066, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,511,072 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,802,148 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,708,924 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,322,986 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $385,938 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,385 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $391,323 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $391,323 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,563 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 135.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142075, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,568,791 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,169,077 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,399,714 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,225,095 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $174,619 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,224 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $178,843 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $178,843 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,691 | 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 | 41.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 142.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103839, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for October 1, 2013 to December 31, 2013 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 22, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,289,935 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $228,746 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,061,189 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,056,145 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $5,044 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,848 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,892 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $6,892 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,384 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 26 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 563.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076660, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 21, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,048,769 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,251,417 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,797,352 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,970,949 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$173,597 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $680 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$172,917 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$172,917 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,367 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 169 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 137.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029890, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 14, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,579,607 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,791,835 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$212,228 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$13,010 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$225,238 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,560 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 216 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 122.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 58.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428931, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 28, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,485,849 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,306,963 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $178,886 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$2,763 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $176,123 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,039 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 280 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 137.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 46.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398163, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 29, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,388,882 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,189,154 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $199,728 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,132 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $202,860 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,180 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 204 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 294.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 69.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368556, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 30, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,938,605 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,207,979 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $730,626 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$497,136 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $233,490 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,299 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 356.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 95.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 338131, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 30, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,631,808 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,763,011 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $868,797 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$408,205 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $460,592 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,217 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 216 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 175.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308013, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,014,550 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,671,075 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,343,475 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $82,460 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $949,514 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $476,421 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,267 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 255.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 78.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303250, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 30, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,092,365 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,461,106 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $631,259 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $131,720 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $595,946 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $167,033 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,319 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 276202, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 9, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,802,604 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,323,577 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $479,027 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $73,347 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $518,781 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $33,593 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,166 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 208 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 245.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 68.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 238762, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,532,669 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,085,636 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $447,033 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$296,802 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $150,231 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,139 | 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 | 29.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 284.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 104.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 213856, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,847,118 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,008,746 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $838,372 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$621,706 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $212 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $216,454 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,301 | 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 | 40.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 164.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 91.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173281, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,279,995 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,810,770 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $469,225 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$364,625 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $104,600 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,307 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 164 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 129.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 99.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141084, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 8, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,190,926 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,703,088 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $487,838 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$378,526 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $109,312 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,061 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 132 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 195.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 52056, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 10, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,795,174 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,594,596 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $200,578 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,180 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $201,758 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,287 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 358.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 218.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 52054, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for June 1, 1998 to September 30, 1998 — a reporting period of 121 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,513,320 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,473,464 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $39,856 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $420 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $40,274 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,088 | 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 | 10 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 145.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 146.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 52052, read from the public cost report file SNFFY1998.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 |
|---|---|---|---|---|
| TRUIST BANK | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 09/01/2024 |
| CARNAGIE, RUSSELL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2025 |
| LARSON, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2025 |
| PORTLAND 8643 REALTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2024 |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2024 |
| APT, FREDERICK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/10/2024 |
| BRZYCKI, TRACY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2024 |
| CARNAGIE, RUSSELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/03/2024 |
| JERGENSEN, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/10/2024 |
| LARSON, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2024 |
| MITCHELL, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/10/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of EVERGREEN SNF HEALTHCARE LLC (enrollment ID O20240829001753).
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 |
|---|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/10/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JASON H MURRAY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35.2 | 5/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK D HANCOCK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35.2 | 5/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/10/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/10/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| TRUIST BANK | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 9/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID P LARSON | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PORTLAND 8643 REALTY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| RUSSELL CARNAGIE | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID P LARSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FREDERICK G APT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN T MITCHELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA O JERGENSEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RUSSELL CARNAGIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/3/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRACY BRZYCKI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2025: HAROLD G DELAMARTER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: HAROLD G DELAMARTER 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: BRIAN R DELAMARTER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRIAN R DELAMARTER 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: PRESTIGE CARE INC 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: JODI BLACK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GREGORY J. VISLOCKY 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: MARK D HANCOCK (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RUSSELL CARNAGIE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RUSSELL CARNAGIE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PORTLAND 8643 REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSHUA O JERGENSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TRUIST BANK (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PROVIDENCE GROUP NH, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID P LARSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID P LARSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FREDERICK G APT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TRACY BRZYCKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN T MITCHELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JASON H MURRAY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Recent changes on this record
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 1, 2025: HAROLD G DELAMARTER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: HAROLD G DELAMARTER 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: BRIAN R DELAMARTER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRIAN R DELAMARTER 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: PRESTIGE CARE INC 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: JODI BLACK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GREGORY J. VISLOCKY 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: MARK D HANCOCK (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RUSSELL CARNAGIE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RUSSELL CARNAGIE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PORTLAND 8643 REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSHUA O JERGENSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TRUIST BANK (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PROVIDENCE GROUP NH, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID P LARSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID P LARSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FREDERICK G APT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TRACY BRZYCKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN T MITCHELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JASON H MURRAY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: enrollment_id: O20041111000686 → O20240829001753. Skilled_Nursing_Facility_Enrollments_:_2025-07-01.csv
- September 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 11, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 19, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- October 20, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- October 21, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 6, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 23, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 22, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 24, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 22, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2014.zip
- April 22, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- May 21, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- May 14, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 18, 2025 | February 18, 2025 | 20 | 9 |
| 2 | October 23, 2023 | October 23, 2023 | 10 | 2 |
| 3 | August 15, 2022 | August 15, 2022 | 11 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
41 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 14, 2026 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | June 1, 2026 |
| November 17, 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. | D | Yes | Deficient, Provider has date of correction | December 8, 2025 |
| November 17, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | December 8, 2025 |
| February 18, 2025 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 18, 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 | March 21, 2025 |
| February 18, 2025 | 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 | March 21, 2025 |
| February 18, 2025 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 18, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 18, 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 18, 2025 | 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 | March 21, 2025 |
| February 18, 2025 | 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 | March 21, 2025 |
| February 18, 2025 | 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 | March 21, 2025 |
| February 18, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 18, 2025 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 18, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 18, 2025 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 18, 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 18, 2025 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 18, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 18, 2025 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | E | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 18, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 21, 2025 |
| September 19, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | October 3, 2024 |
| October 23, 2023 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | November 29, 2023 |
| October 23, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | November 29, 2023 |
| October 23, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | November 29, 2023 |
| October 23, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | November 29, 2023 |
| October 23, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | November 29, 2023 |
| October 23, 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | November 29, 2023 |
| October 23, 2023 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | November 29, 2023 |
| October 23, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | November 29, 2023 |
| August 15, 2022 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | September 22, 2022 |
| August 15, 2022 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | September 22, 2022 |
| August 15, 2022 | 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 | No | Deficient, Provider has date of correction | September 22, 2022 |
| August 15, 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | September 22, 2022 |
| August 15, 2022 | 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 | September 22, 2022 |
| August 15, 2022 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | F | No | Deficient, Provider has date of correction | September 22, 2022 |
| August 15, 2022 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | September 22, 2022 |
| August 15, 2022 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | No | Deficient, Provider has date of correction | September 22, 2022 |
| August 15, 2022 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | September 22, 2022 |
| August 15, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | September 22, 2022 |
| August 15, 2022 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | D | No | Deficient, Provider has date of correction | September 22, 2022 |
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 |
|---|---|---|---|---|---|
| December 11, 2023 | Fine | $4,194 | 46317 |
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 - Limited Liability company |
| Legal Business Name | EVERGREEN SNF HEALTHCARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1998-06-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Multnomah |
| Telephone Number | 5032562151 |
| Chain Name | PACS GROUP |
| Chain ID | 690 |
| 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 | 55 |
| Average Number of Residents per Day | 52.3 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on EVERGREEN POST ACUTE: 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 September 11, 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 EVERGREEN POST ACUTE
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.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 385258.