Skilled nursing facility · CMS certification number 395397
EDENBROOK ON SECOND AVE
KINGSTON, Pennsylvania · Medicare and Medicaid
Certified beds, as filed in Care Compare: 160
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 February 1, 2025 to June 30, 2025 — a reporting period of 149 days, not a full year, on form CMS-2540-10, as submitted, processed by CMS on June 12, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,441,281 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,570,294 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,870,987 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,722,289 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$851,302 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,201 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$824,101 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$824,101 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 26,400 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,259 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 17,455 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 685 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,399 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 52 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 39 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 21 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 447.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450372, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 12, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,021,548 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,266,464 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,755,084 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,785,331 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,030,247 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,139 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,023,108 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,023,108 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,720 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 344 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 155.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448498, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,421,685 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,341,975 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,079,710 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,979,190 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,899,480 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,078 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,896,402 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,896,402 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,761 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 223 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 539.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 214.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371535, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for May 31, 2021 to June 30, 2022 — a reporting period of 395 days, on form CMS-2540-10, settled, processed by CMS on January 19, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,452,766 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,852,488 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,600,278 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,183,831 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,583,553 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $619,621 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,963,932 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,963,932 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,865 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 512 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 151.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340562, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended May 30, 2021
Cost report for June 1, 2020 to May 30, 2021 — a reporting period of 363 days, on form CMS-2540-10, settled, processed by CMS on October 17, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,506,795 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $437,774 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,069,021 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,155,047 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,086,026 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $960,073 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,125,953 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,147,870 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,424 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 219 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 246.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334964, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended May 31, 2020
Cost report for June 1, 2019 to May 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,254,714 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $897,816 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,356,898 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,394,531 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,037,633 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $762,600 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$275,033 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$296,916 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,771 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 412 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 158.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314436, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended May 31, 2019
Cost report for June 1, 2018 to May 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 29, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,756,336 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,256,505 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,499,831 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,069,512 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $430,319 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,675 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $432,994 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $399,935 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,943 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 703 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 147.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1270109, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended May 31, 2018
Cost report for June 1, 2017 to May 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 18, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,430,153 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,073,306 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,356,847 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,135,835 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,778,988 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,104 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,774,884 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,796,767 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,260 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 779 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 149.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252756, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended May 31, 2017
Cost report for June 1, 2016 to May 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,681,065 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,630,344 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,050,721 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,375,896 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,325,175 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,801 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,319,374 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,358,289 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,497 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 665 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 171.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1219958, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended May 31, 2016
Cost report for June 1, 2015 to May 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 25, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,554,513 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,631,173 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,923,340 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,381,508 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$458,168 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,253 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$450,915 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$475,048 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,231 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 658 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 186.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177512, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended May 31, 2015
Cost report for June 1, 2014 to May 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,367,873 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,915,321 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,452,552 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,408,121 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$955,569 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,157 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$947,412 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$985,936 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,281 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 633 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 145.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143094, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended May 31, 2014
Cost report for June 1, 2013 to May 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 27, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,968,770 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,266,571 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,702,199 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,224,168 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$521,969 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,750 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$512,219 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$538,050 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,776 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 773 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 131.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105555, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended May 31, 2013
Cost report for June 1, 2012 to May 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,125,237 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,560,545 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,564,692 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,782,788 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$218,096 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,556 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$206,540 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$234,563 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,683 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 895 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 124.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058334, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended May 31, 2012
Cost report for June 1, 2011 to May 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,400,949 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,315,057 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,085,892 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,234,008 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $851,884 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,070 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $855,954 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $824,429 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 59,843 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 744 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 134.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044992, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended May 31, 2011
Cost report for June 1, 2010 to May 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,694,462 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,889,752 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,804,710 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,612 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $23,203 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,793,119 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,691 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 694 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 242.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432741, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended May 31, 2010
Cost report for June 1, 2009 to May 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 21, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,023,145 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,194,004 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,829,141 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,403 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $35,839 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,822,705 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,258 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 623 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 373.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 95.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418952, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended May 31, 2009
Cost report for June 1, 2008 to May 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on December 7, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,942,870 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,888,061 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,054,809 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,025 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $29,731 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $2,049,103 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,898 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 694 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 316.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 86.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 390599, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended May 31, 2008
Cost report for December 21, 2007 to May 31, 2008 — a reporting period of 162 days, not a full year, on form CMS-2540-96, settled with audit, processed by CMS on November 23, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,573,776 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,049,368 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $524,408 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,088 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,201 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $526,295 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,688 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 224 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 473.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359491, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 20, 2007
Cost report for June 1, 2007 to December 20, 2007 — a reporting period of 202 days, not a full year, on form CMS-2540-96, settled, processed by CMS on September 8, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,411,819 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,310,940 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $100,879 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,782 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,657 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $101,004 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,655 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 326 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 404.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 103.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 356278, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended May 31, 2006
Cost report for June 1, 2005 to May 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on July 26, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,460,240 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,207,964 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $252,276 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,676 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20,600 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $248,352 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,599 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 445 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 521.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 140.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 290008, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended May 31, 2005
Cost report for June 1, 2004 to May 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 24, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,514,255 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,249,892 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $264,363 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,516 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $14,552 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $264,327 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,428 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 349 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 379.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 245919, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended May 31, 2004
Cost report for June 1, 2003 to May 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 16, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,393,182 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,130,679 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,262,503 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,016 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $18,022 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,259,497 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,895 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 375 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 409.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 165.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216874, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended May 31, 2003
Cost report for June 1, 2002 to May 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,218,634 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,701,822 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,516,812 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $31,467 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $27,947 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $2,520,332 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,774 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 372 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 352.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 163.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195363, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended May 31, 2002
Cost report for June 1, 2001 to May 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 23, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,405,506 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,528,260 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,877,246 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,753 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,491 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,889,508 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,379 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 365 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 395.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 168.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169394, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended May 31, 2001
Cost report for June 1, 2000 to May 31, 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 | $9,008,376 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,513,156 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,495,220 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,661 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $276,133 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $2,286,748 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,873 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 291 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 547.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141194, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended May 31, 2000
Cost report for June 1, 1999 to May 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on March 2, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,795,999 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,346,850 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,449,149 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,294 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $721,673 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $773,770 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,069 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 451 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394890, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended May 31, 1999
Cost report for June 1, 1998 to May 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on July 28, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,719,888 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,265,969 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,453,919 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,461 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $255,391 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,256,989 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,831 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 305 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 485.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 163.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 413807, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended May 31, 1998
Cost report for November 1, 1997 to May 31, 1998 — a reporting period of 211 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on August 10, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,851,834 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,367,715 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,484,119 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $228,904 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,713,023 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,823 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 334 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 107.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385039, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended October 31, 1997
Cost report for November 1, 1996 to October 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on December 31, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,448,975 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,604,995 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $843,980 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $194,506 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,038,486 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,374 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 611 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 102.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361939, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended October 31, 1996
Cost report for November 1, 1995 to October 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 1, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,749,724 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,272,536 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$522,812 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $209,894 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$312,918 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,528 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 555 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 112.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 27456, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ALMEKY, IBRAHIM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| CUNDEY, CHELSEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| KINGSTON SNF REALTY, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/01/2025 |
| LIFSICS, CHANNIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| MAUER, DOVIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| POLSTEIN, MORDECHAI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| STESEL, MAXIM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| ZARKH, GLEB | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| LIFSICS, CHANNIE | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2025 |
| MAUER, DOVIE | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2025 |
| POLSTEIN, MORDECHAI | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2025 |
| STESEL, MAXIM | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2025 |
| ZARKH, GLEB | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2025 |
| POLSTEIN, MORDECHAI | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/01/2025 |
| STESEL, MAXIM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/01/2025 |
| ALMEKY, IBRAHIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
| CUNDEY, CHELSEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
| KINGSTON SNF REALTY, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2025 |
| POLSTEIN, MORDECHAI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
| STESEL, MAXIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of KINGSTON SNF OPERATIONS, LLC (enrollment ID O20251009004621).
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 |
|---|---|---|---|---|---|
| CHANNIE B LIFSICS | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHELSEY L CUNDEY | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOVIE MAUER | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GLEB ZARKH | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IBRAHIM M ALMEKY | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KINGSTON SNF REALTY, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MAXIM STESEL | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MORDECHAI POLSTEIN | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHANNIE B LIFSICS | Individual | INDIRECT OWNERSHIP INTEREST | 6 | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOVIE MAUER | Individual | INDIRECT OWNERSHIP INTEREST | 6 | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GLEB ZARKH | Individual | INDIRECT OWNERSHIP INTEREST | 12.4 | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAXIM STESEL | Individual | INDIRECT OWNERSHIP INTEREST | 41.6 | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MORDECHAI POLSTEIN | Individual | INDIRECT OWNERSHIP INTEREST | 34 | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAXIM STESEL | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MORDECHAI POLSTEIN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHELSEY L CUNDEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IBRAHIM M ALMEKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KINGSTON SNF REALTY, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MAXIM STESEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MORDECHAI POLSTEIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: JACOB J ZAHLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JACOB J ZAHLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LZ PA HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: IBRAHIM M ALMEKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: IBRAHIM M ALMEKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GLEB ZARKH (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GLEB ZARKH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHANNIE B LIFSICS (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHANNIE B LIFSICS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KINGSTON SNF REALTY, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KINGSTON SNF REALTY, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MAXIM STESEL (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MAXIM STESEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MAXIM STESEL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MAXIM STESEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DOVIE MAUER (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DOVIE MAUER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MORDECHAI POLSTEIN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MORDECHAI POLSTEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MORDECHAI POLSTEIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MORDECHAI POLSTEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHELSEY L CUNDEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHELSEY L CUNDEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- November 1, 2024: RK SNF CONSULTING CORP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: FDZ CONSULTING LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: NICOLE GREGO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: ROCHEL DAVID no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: DEENA HERSH no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: CHAIM ZAHLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: ROBERT T KOLMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: LEAH FRIEDMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JACOB J ZAHLER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 28, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- December 1, 2023: AIJ CONSULTING INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: MATHEW K VARGHESE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
Recent changes on this record
- July 1, 2026: JACOB J ZAHLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JACOB J ZAHLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LZ PA HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: IBRAHIM M ALMEKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: IBRAHIM M ALMEKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GLEB ZARKH (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GLEB ZARKH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHANNIE B LIFSICS (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHANNIE B LIFSICS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KINGSTON SNF REALTY, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KINGSTON SNF REALTY, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MAXIM STESEL (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MAXIM STESEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MAXIM STESEL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MAXIM STESEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DOVIE MAUER (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DOVIE MAUER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MORDECHAI POLSTEIN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MORDECHAI POLSTEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MORDECHAI POLSTEIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MORDECHAI POLSTEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHELSEY L CUNDEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHELSEY L CUNDEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: enrollment_id: O20210913002485 → O20251009004621. Skilled_Nursing_Facility_Enrollments_:_2026-07-01.csv
- June 12, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
- March 12, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- December 11, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- November 1, 2024: RK SNF CONSULTING CORP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: FDZ CONSULTING LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: NICOLE GREGO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: ROCHEL DAVID no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: DEENA HERSH no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: CHAIM ZAHLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: ROBERT T KOLMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: LEAH FRIEDMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JACOB J ZAHLER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 28, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- January 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- December 1, 2023: AIJ CONSULTING INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: MATHEW K VARGHESE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 8, 2026 | May 8, 2026 | 14 | 3 |
| 2 | June 6, 2025 | June 6, 2025 | 12 | 3 |
| 3 | August 23, 2024 | August 23, 2024 | 18 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
44 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 25, 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | July 20, 2026 |
| June 25, 2026 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Yes | Deficient, Provider has date of correction | July 20, 2026 |
| May 8, 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | July 20, 2026 |
| May 8, 2026 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | C | No | Deficient, Provider has date of correction | June 25, 2026 |
| May 8, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | C | No | Deficient, Provider has date of correction | June 25, 2026 |
| May 8, 2026 | 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 | June 25, 2026 |
| May 8, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | June 25, 2026 |
| May 8, 2026 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | June 25, 2026 |
| May 8, 2026 | 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. | E | No | Deficient, Provider has date of correction | June 25, 2026 |
| May 8, 2026 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | No | Deficient, Provider has date of correction | July 20, 2026 |
| May 8, 2026 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | June 25, 2026 |
| January 21, 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | March 3, 2026 |
| September 25, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | November 4, 2025 |
| September 25, 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. | F | Yes | Deficient, Provider has date of correction | November 4, 2025 |
| June 6, 2025 | 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. | E | No | Deficient, Provider has date of correction | July 16, 2025 |
| June 6, 2025 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | No | Deficient, Provider has date of correction | July 16, 2025 |
| June 6, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | July 16, 2025 |
| June 6, 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 | July 16, 2025 |
| June 6, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 16, 2025 |
| June 6, 2025 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | Yes | Deficient, Provider has date of correction | July 16, 2025 |
| June 6, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | July 16, 2025 |
| February 19, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | March 17, 2025 |
| January 10, 2025 | Health | F 0560 | Resident Rights Deficiencies | Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | D | Yes | Deficient, Provider has date of correction | January 29, 2025 |
| January 10, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | January 29, 2025 |
| November 26, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | January 10, 2025 |
| November 26, 2024 | Health | F 0559 | Resident Rights Deficiencies | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Yes | Deficient, Provider has date of correction | January 10, 2025 |
| August 23, 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. | E | Yes | Deficient, Provider has date of correction | September 24, 2024 |
| August 23, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | September 24, 2024 |
| August 23, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | September 24, 2024 |
| August 23, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | September 24, 2024 |
| August 23, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | September 24, 2024 |
| August 23, 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 | September 24, 2024 |
| August 23, 2024 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | September 24, 2024 |
| August 23, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | September 24, 2024 |
| August 23, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | September 24, 2024 |
| August 23, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | September 24, 2024 |
| August 23, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | September 24, 2024 |
| August 23, 2024 | Health | F 0914 | Environmental Deficiencies | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | No | Deficient, Provider has date of correction | September 24, 2024 |
| May 15, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | June 5, 2024 |
| May 15, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | June 5, 2024 |
| May 15, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | June 5, 2024 |
| May 15, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | June 5, 2024 |
| September 22, 2023 | 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 | October 31, 2023 |
| September 22, 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. | E | Yes | Deficient, Provider has date of correction | October 31, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | KINGSTON SNF OPERATIONS, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1977-12-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Luzerne |
| Telephone Number | 5702889315 |
| Chain Name | EDEN SENIOR CARE |
| Chain ID | 192 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 160 |
| Average Number of Residents per Day | 114.4 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on EDENBROOK ON SECOND AVE: 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 July 1, 2026: enrollment_id: O20210913002485 → O20251009004621. That is one line of the alert.
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The citable document for EDENBROOK ON SECOND AVE
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 Pennsylvania 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 395397.