Skilled nursing facility · CMS certification number 385259
HOLLADAY PARK PLAZA
PORTLAND, Oregon · Medicare
Certified beds, as filed in Care Compare: 51
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,226,954 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,005,552 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,221,402 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,098,248 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$16,876,846 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,618,190 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $741,344 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $741,344 (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 | 123 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 45,018 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,593 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 19,035 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,628 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 88 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 136 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 224 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 96.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405829, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,260,762 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $750,779 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,509,983 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,784,704 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,274,721 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,479,457 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $204,736 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $204,736 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,465 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 178 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 109.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1377119, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 26, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,187,302 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $571,531 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,615,771 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,002,956 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,387,185 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,109,886 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,277,299 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,277,299 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,038 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 145.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1348638, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,776,013 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $808,917 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,967,096 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,298,830 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,331,734 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,184,420 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,852,686 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,852,686 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,412 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 247 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 94.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314966, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 3, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,986,597 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,081,495 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,905,102 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,013,020 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,107,918 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,523,843 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,415,925 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,415,925 (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 | 269 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,150 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 204 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 162.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283226, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 15, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,157,083 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,631,507 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,525,576 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,223,884 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,698,308 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,950,295 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,251,987 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,251,987 (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 | 269 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 115,368 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 306 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 377.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254012, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 21, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,626,461 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,799,607 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,826,854 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,446,757 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,619,903 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,484,138 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,864,235 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,864,235 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,664 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 308 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 93.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221619, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 28, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,394,638 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,949,053 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,445,585 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,384,035 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,938,450 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,698,974 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,760,524 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,760,524 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 107,990 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 271 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 398.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1234364, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 28, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,052,417 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,707,660 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,344,757 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,788,070 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$11,443,313 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,975,346 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,532,033 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,532,033 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,902 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 332 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 47.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156547, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 14, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,260,997 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,998,394 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,262,603 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,159,740 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,897,137 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,208,949 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $311,812 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $311,812 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,337 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 299 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 51.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1120483, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,142,157 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,346,375 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,795,782 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,904,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$108,499 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,000,485 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,891,986 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,891,986 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,632 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 237 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 65.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1090675, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 24, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,480,964 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,573,486 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,907,478 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,302,931 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$395,453 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,818,403 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,422,950 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,422,950 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,948 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 198 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 80.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1060809, read from the public cost report file SNF10FY2013.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 | $15,765,446 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,970,042 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,795,404 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,219,985 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$424,581 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,488,758 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,064,177 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,361,622 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,418 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 204 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 70.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029889, 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 April 30, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,768,594 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,873,220 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$104,626 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,758,490 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $434,538 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,219,326 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,229 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 171 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 83.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428323, 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 | $12,424,433 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,783,114 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $641,319 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,684,842 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,326,161 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,364 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 154 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 73.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398164, 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 | $12,487,136 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,951,985 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $535,151 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,865,706 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,400,857 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,071 | 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 | 32.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 105.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368557, 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 | $11,272,893 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,939,361 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $333,532 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $444,039 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $777,571 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,723 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 128.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 338132, 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 | $10,393,635 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,104,466 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $289,169 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,298,414 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,587,583 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,230 | 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 | 79.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 154.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308014, 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 | $10,307,391 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,039,203 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $268,188 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,607,290 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,875,478 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,200 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 91.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303251, 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 September 29, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,279,103 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,457,289 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$178,186 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,280,679 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,102,493 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,929 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 134.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264107, 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 March 3, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,530,330 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,198,254 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$667,924 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,620,127 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $952,203 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,440 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 97.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244265, 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 June 9, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,527,392 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,689,848 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$162,456 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,534,764 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $14,056 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,358,252 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,820 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 114 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 86.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 221202, 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 | $8,292,543 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,852,049 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$559,506 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $701,889 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $116,067 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $26,316 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,747 | 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 | 115.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 112.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173291, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for January 1, 2001 to September 30, 2001 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,628,734 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,623,532 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$994,798 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $623,531 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$371,267 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,549 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 148.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133569, 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 | $1,695,058 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,811,962 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$7,116,904 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,695,320 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $578,416 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,673 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 190 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 71.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 114366, 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 | $1,655,364 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,454,988 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,799,624 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,727,933 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $238,628 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$310,319 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,990 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 199.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 52060, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for August 14, 1998 to December 31, 1998 — a reporting period of 139 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 12, 2000.
None of these figures is carried on this report.
CMS report record 52058, 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 |
|---|---|---|---|---|
| KALIN, LEAH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| KIERNAN, JANET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/16/2023 |
| PACIFIC RETIREMENT SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/28/2025 |
| PLATTE, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/18/2016 |
| SABATINI, ANTHONY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/17/2024 |
| SAMUELSON, KATELYNN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/28/2025 |
| HAWKINS, RICHARD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| JENSEN, CHRIS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/18/2023 |
| JOHNSON, LYNN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/18/2017 |
| MCLAUGHLIN, KATHLEEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/17/2018 |
| JOHNSON, LYNN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2022 |
| MCLAUGHLIN, KATHLEEN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2023 |
| PLATTE, SUSAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/18/2016 |
| KALIN, LEAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2023 |
| KIERNAN, JANET | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/16/2023 |
| PLATTE, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/18/2016 |
| SABATINI, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/28/2025 |
| SAMUELSON, KATELYNN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/21/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HOLLADAY PARK PLAZA INC (enrollment ID O20050727001164).
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 |
|---|---|---|---|---|---|
| ANTHONY SABATINI | Individual | ADP OF THE SNF | Not stated in the filing | 10/17/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANET KIERNAN | Individual | ADP OF THE SNF | Not stated in the filing | 7/16/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATELYNN SAMUELSON | Individual | ADP OF THE SNF | Not stated in the filing | 5/28/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEAH BETH KALIN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACIFIC RETIREMENT SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 5/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SUSAN PLATTE | Individual | ADP OF THE SNF | Not stated in the filing | 7/18/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRIS JENSEN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/18/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHLEEN MCLAUGHLIN | Individual | CORPORATE DIRECTOR | 0 | 7/17/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYNN JOHNSON | Individual | CORPORATE DIRECTOR | 0 | 4/18/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD HAWKINS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHLEEN MCLAUGHLIN | Individual | CORPORATE OFFICER | 0 | 10/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYNN JOHNSON | Individual | CORPORATE OFFICER | 0 | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN PLATTE | Individual | CORPORATE OFFICER | Not stated in the filing | 7/18/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY SABATINI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/28/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANET KIERNAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/16/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATELYNN SAMUELSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/21/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEAH BETH KALIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN PLATTE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/18/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- May 1, 2026: ERIC SHOLTY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PACIFIC RETIREMENT SERVICES INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MICHAEL ELLIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MUFG UNION BANK NA no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SUSAN PLATTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MICHELLE NEAL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: THOMAS B FULLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LYNN JOHNSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LEAH BETH KALIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LEAH BETH KALIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PACIFIC RETIREMENT SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATELYNN SAMUELSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATELYNN SAMUELSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATHLEEN MCLAUGHLIN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SUSAN PLATTE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 18, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SUSAN PLATTE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 18, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SUSAN PLATTE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 18, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANTHONY SABATINI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 17, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANTHONY SABATINI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CHRIS JENSEN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JANET KIERNAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JANET KIERNAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RICHARD HAWKINS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
Recent changes on this record
- May 1, 2026: ERIC SHOLTY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PACIFIC RETIREMENT SERVICES INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MICHAEL ELLIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MUFG UNION BANK NA no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SUSAN PLATTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MICHELLE NEAL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: THOMAS B FULLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LYNN JOHNSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LEAH BETH KALIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LEAH BETH KALIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PACIFIC RETIREMENT SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATELYNN SAMUELSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATELYNN SAMUELSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATHLEEN MCLAUGHLIN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SUSAN PLATTE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 18, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SUSAN PLATTE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 18, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SUSAN PLATTE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 18, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANTHONY SABATINI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 17, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANTHONY SABATINI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CHRIS JENSEN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JANET KIERNAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JANET KIERNAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RICHARD HAWKINS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- March 26, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- May 2, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 26, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 28, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 3, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 15, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- June 28, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- March 21, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- April 28, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- March 14, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- May 16, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- May 24, 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
- April 30, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- April 28, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- April 29, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- April 30, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 5, 2025 | September 5, 2025 | 3 | 1 |
| 2 | June 13, 2024 | June 13, 2024 | 2 | 2 |
| 3 | March 13, 2023 | March 13, 2023 | 13 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 30, 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 | Deficient, Provider has date of correction | July 31, 2026 |
| September 5, 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 | October 10, 2025 |
| September 5, 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 | No | Deficient, Provider has date of correction | October 10, 2025 |
| June 13, 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | July 24, 2024 |
| June 13, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | July 24, 2024 |
| March 13, 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 13, 2023 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 13, 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 | April 26, 2023 |
| March 13, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 13, 2023 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 13, 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 | April 26, 2023 |
| March 13, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 13, 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 13, 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 | April 26, 2023 |
| March 13, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 13, 2023 | Health | F 0742 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 13, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 13, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | HOLLADAY PARK PLAZA INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1998-08-14 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Multnomah |
| Telephone Number | 5032886671 |
| Chain Name | PACIFIC RETIREMENT SERVICES |
| Chain ID | 391 |
| 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 | 51 |
| Average Number of Residents per Day | 38.2 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on HOLLADAY PARK PLAZA: 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 March 26, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for HOLLADAY PARK PLAZA
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 385259.