Skilled nursing facility · CMS certification number 395422
PENNKNOLL VILLAGE
EVERETT, Pennsylvania · Medicare and Medicaid
Certified beds, as filed in Care Compare: 133
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: 2 · Fines: 2 · Fines, total amount: $17,345.00 · Payment denials: 0. The most recent penalty on file: May 29, 2025, Fine, $8,673. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2025 to May 31, 2025 — a reporting period of 150 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 7, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,615,812 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,758,881 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,856,931 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,057,081 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,200,150 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $114,687 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,085,463 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,085,463 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 20,083 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 426 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,230 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,425 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 13,081 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 8 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 12 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 48 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 852.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 192.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449349, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2024, ended December 31, 2024
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 15, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,017,681 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,352,473 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,665,208 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,819,923 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,154,715 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $212,717 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,941,998 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,941,998 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,794 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 174 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 514.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 205.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449885, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,603,115 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,812,867 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,790,248 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,709,088 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,918,840 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $262,842 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,655,998 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,655,998 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,015 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 283 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 539.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439390, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 21, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,260,841 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,351,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,909,529 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,870,231 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,960,702 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $419,840 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,540,862 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,540,862 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,575 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 167 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 806.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 219.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1399283, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 31, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,957,305 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,517,412 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,439,893 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,932,032 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$492,139 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,162,200 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $670,061 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $670,061 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,504 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 227 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 600.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345297, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,328,334 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,391,341 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,936,993 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,079,632 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$142,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $506,754 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $364,115 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $364,115 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,019 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 298 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 468.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335656, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 1, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,005,166 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,528,542 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,476,624 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,098,785 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$622,161 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$93,383 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$715,544 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$715,544 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,905 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 291 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 537.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 154.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1285032, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 18, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,854,926 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,552,235 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,302,691 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,085,619 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$782,928 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $96,109 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$686,819 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$686,819 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,506 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 307 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 447.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1276855, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,160,041 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,851,862 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,308,179 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,403,576 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,095,397 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,830 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,052,567 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,052,567 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,133 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 335 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 618.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1219960, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,196,480 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,449,869 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,746,611 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,471,277 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$724,666 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $86,285 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$638,381 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$638,381 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,444 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 327 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 643.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 142.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1194024, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 8, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,179,319 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,157,444 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,021,875 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,281,346 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$259,471 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,889 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$254,582 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$254,582 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,312 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 352 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 511.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153977, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,921,873 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,616,963 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,304,910 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,299,396 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $5,514 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,340 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $9,854 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $9,854 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,834 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 416 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 513.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1113316, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 1, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,769,196 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,630,586 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,138,610 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,674,438 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$535,828 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,285,093 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $749,265 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $749,265 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,392 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 440 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 235.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1092453, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,221,411 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,967,538 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,253,873 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,529,548 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$275,675 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,251,439 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $975,764 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $975,764 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,522 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 480 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 260.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1057546, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,863,930 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,011,008 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,852,922 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,861,761 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,839 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,716 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $7,877 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,877 (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 | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,903 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 346 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 604.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047512, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 5, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,187,543 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,604,041 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$416,498 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,892 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$8,250 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$396,356 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,307 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 296 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,135.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 156.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430057, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on September 22, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,570,826 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,588,093 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$17,267 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,773 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$9,208 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$286 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,152 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 314 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 663.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 146.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418291, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 17, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,510,219 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,016,792 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $493,427 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,592 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $509,019 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,800 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 266 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 805.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364101, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on April 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,197,631 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,324,286 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $873,345 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,232 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $891,577 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,044 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 249 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,056.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 188.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 336658, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on September 13, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,091,998 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,923,308 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,168,690 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,038 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,204,728 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,450 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 314 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 721.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 293641, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for May 1, 2005 to December 31, 2005 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 31, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,223,364 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,937,719 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $285,645 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,336 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $328,981 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,409 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 235 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 837.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 280071, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 21, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,314,399 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,583,354 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $731,045 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $107,175 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $838,221 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,920 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 521 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 352.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 90.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 239755, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,849,711 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,482,676 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $367,035 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $113,321 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $480,356 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,060 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 541 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 257.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 85.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195396, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 28, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,460,722 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,125,325 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $335,397 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $102,969 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $438,366 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,185 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 261 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 953.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 154952, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,198,006 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,484,940 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$286,934 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $79,619 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$207,314 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,271 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.99 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 643.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 129702, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 19, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,351,711 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,612,434 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$260,723 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $118,399 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$142,324 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,232 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 996.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 462.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54644, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on August 16, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,829,197 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,156,950 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$327,753 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $181,010 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$146,743 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,163 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 115.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,012.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 554.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54643, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,881,044 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,237,026 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$355,982 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $169,271 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$186,711 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,127 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 92.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 569.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54641, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 26, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,632,615 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,551,713 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $80,902 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $153,622 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $234,524 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,298 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 102.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 571.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54639, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 7, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,450,996 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,196,503 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $254,493 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $152,222 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $406,715 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,792 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 91.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 632.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54638, 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 |
|---|---|---|---|---|
| EVERETT PARENTCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2025 |
| BEDFORD HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| PAOP HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| EVERETT RE OWNER, LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 05/01/2025 |
| CLARK, ALYSSA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| DILLING, DUANE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| EVERETT RE OWNER, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| JONES, TEQUILLA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| MARINSKI, ASHLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| SNF MGR LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/20/2025 |
| SWARTZ, JANA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| CLARK, ALYSSA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2025 |
| CLARK, ALYSSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| DILLING, DUANE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| JONES, TEQUILLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| MARINSKI, ASHLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| SNF MGR LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2025 |
| SWARTZ, JANA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of 208 PENNKNOLL ROAD OPCO LLC (enrollment ID O20250929000844).
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 |
|---|---|---|---|---|---|
| EVERETT PARENTCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BEDFORD HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| NU C II IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| NU C IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PAOP HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SNF CARE CENTERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ZENITH HOLDCO II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ZENITH HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| EVERETT RE OWNER, LLC | Organization | 5% OR GREATER SECURITY INTEREST | Not stated in the filing | 5/1/2025 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| ALYSSA L CLARK | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ASHLEY MARINSKI | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DUANE PAUL DILLING | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EVERETT RE OWNER, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| JANA SWARTZ | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SNF MGR LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TEQUILLA JONES | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIFFANY HOBACK | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | 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 | 4/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALYSSA L CLARK | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIFFANY HOBACK | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALYSSA L CLARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ASHLEY MARINSKI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DUANE PAUL DILLING | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANA SWARTZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SNF MGR LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TEQUILLA JONES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIFFANY HOBACK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2026: TIMOTHY H LEHNER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TIMOTHY H LEHNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LAVIE HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: VICTOR H POPE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: VICTOR H POPE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LV OPERATIONS I LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LV OPERATIONS II LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LV CHC HOLDINGS I LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CONSULATE MANAGEMENT COMPANY III LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: FC INVESTORS XXI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JANA SWARTZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LINDA M WELSH no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LAVIE CARE CENTERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LV INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ASHLEY MARINSKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ASHLEY MARINSKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NU C IRREVOCABLE TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PAOP HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TEQUILLA JONES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TEQUILLA JONES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ZENITH HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TIFFANY HOBACK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TIFFANY HOBACK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TIFFANY HOBACK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: EVERETT RE OWNER, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: EVERETT RE OWNER, LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ZENITH HOLDCO II LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DUANE PAUL DILLING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DUANE PAUL DILLING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SNF MGR LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SNF MGR LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ALYSSA L CLARK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ALYSSA L CLARK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ALYSSA L CLARK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SNF CARE CENTERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JANA SWARTZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JANA SWARTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NU C II IRREVOCABLE TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BEDFORD HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: EVERETT PARENTCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- September 1, 2024: RAYMOND SOTO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: JANA SWARTZ (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since July 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- August 1, 2024: CHAD BREACH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: RAYMOND SOTO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- July 1, 2024: MCP LAVIE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: ALG LAVIE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: COLUMBIA PACIFIC OPPORTUNITY FUND, L.P. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: KEVIN BEAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: ANN QUINNAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: ANN QUINNAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SAY LA VIE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JERON WALKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JERON WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: LAVIE MORNING, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: TIMOTHY H LEHNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since May 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: TIMOTHY H LEHNER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since May 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: VICTOR H POPE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since December 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: VICTOR H POPE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since December 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: CHAD BREACH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: LINDA M WELSH (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- January 1, 2023: REBECCA L MUNDORFF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: KEVIN BEAN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since October 17, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- May 15, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- May 7, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
- March 1, 2026: TIMOTHY H LEHNER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TIMOTHY H LEHNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LAVIE HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: VICTOR H POPE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: VICTOR H POPE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LV OPERATIONS I LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LV OPERATIONS II LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LV CHC HOLDINGS I LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CONSULATE MANAGEMENT COMPANY III LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: FC INVESTORS XXI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JANA SWARTZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LINDA M WELSH no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LAVIE CARE CENTERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LV INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ASHLEY MARINSKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ASHLEY MARINSKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NU C IRREVOCABLE TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PAOP HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TEQUILLA JONES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TEQUILLA JONES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ZENITH HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TIFFANY HOBACK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TIFFANY HOBACK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TIFFANY HOBACK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: EVERETT RE OWNER, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: EVERETT RE OWNER, LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ZENITH HOLDCO II LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DUANE PAUL DILLING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DUANE PAUL DILLING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SNF MGR LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SNF MGR LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ALYSSA L CLARK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ALYSSA L CLARK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ALYSSA L CLARK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SNF CARE CENTERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JANA SWARTZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JANA SWARTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NU C II IRREVOCABLE TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 23, 2026 | January 23, 2026 | 15 | 1 |
| 2 | January 15, 2025 | January 15, 2025 | 19 | 2 |
| 3 | February 23, 2024 | February 23, 2024 | 26 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
62 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 16, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Yes | Deficient, Provider has date of correction | July 9, 2026 |
| June 16, 2026 | 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. | D | Yes | Deficient, Provider has date of correction | August 28, 2026 |
| January 23, 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | February 24, 2026 |
| January 23, 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. | D | Yes | Deficient, Provider has date of correction | February 24, 2026 |
| January 23, 2026 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | No | Deficient, Provider has date of correction | February 24, 2026 |
| January 23, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | June 10, 2026 |
| January 23, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | February 24, 2026 |
| January 23, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | February 24, 2026 |
| January 23, 2026 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Yes | Deficient, Provider has date of correction | June 10, 2026 |
| January 23, 2026 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | February 24, 2026 |
| January 23, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | June 10, 2026 |
| January 23, 2026 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Yes | Deficient, Provider has date of correction | June 10, 2026 |
| January 23, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Yes | Deficient, Provider has date of correction | June 10, 2026 |
| January 23, 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 | No | Deficient, Provider has date of correction | February 24, 2026 |
| January 23, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | February 24, 2026 |
| May 29, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | June 20, 2025 |
| May 29, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | June 20, 2025 |
| January 15, 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. | D | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 15, 2025 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 15, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 15, 2025 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 15, 2025 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 15, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 15, 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 15, 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 | February 26, 2025 |
| January 15, 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 | February 26, 2025 |
| January 15, 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 15, 2025 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 15, 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 15, 2025 | Health | F 0807 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 15, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 15, 2025 | 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 | Yes | Deficient, Provider has date of correction | February 26, 2025 |
| October 22, 2024 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Yes | Deficient, Provider has date of correction | December 16, 2024 |
| September 9, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | October 3, 2024 |
| July 17, 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Yes | Deficient, Provider has date of correction | August 3, 2024 |
| May 16, 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Yes | Deficient, Provider has date of correction | June 7, 2024 |
| February 23, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 23, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 23, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 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 | March 28, 2024 |
| February 23, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 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 | March 28, 2024 |
| February 23, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 23, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 23, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | E | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 23, 2024 | 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 | March 28, 2024 |
| February 23, 2024 | Health | F 0729 | Nursing and Physician Services Deficiencies | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 23, 2024 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 23, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 23, 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 23, 2024 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 23, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 23, 2024 | 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 | No | Deficient, Provider has date of correction | March 28, 2024 |
| February 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 | March 28, 2024 |
| December 28, 2023 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | January 19, 2024 |
| December 28, 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Yes | Deficient, Provider has date of correction | January 19, 2024 |
| November 15, 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | December 7, 2023 |
| November 15, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | December 7, 2023 |
| September 13, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | October 4, 2023 |
| September 13, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | October 4, 2023 |
| August 2, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | September 7, 2023 |
| August 2, 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | September 7, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| May 29, 2025 | Fine | $8,673 | 14358 | ||
| May 29, 2025 | Fine | $8,672 | 14359 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | 208 PENNKNOLL ROAD OPCO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-10-06 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Bedford |
| Telephone Number | 8146233200 |
| Chain Name | AVARDIS HEALTH |
| Chain ID | 843 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 133 |
| Average Number of Residents per Day | 86.8 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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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 May 15, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for PENNKNOLL VILLAGE
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 395422.