Skilled nursing facility · CMS certification number 425294
Promedica Skilled Nursing And Reh- Greenville West
Greenville, South Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 88
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to January 8, 2024 — a reporting period of 99 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 19, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,722,137 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,709,776 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,012,361 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,269,102 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$256,741 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$2 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$256,743 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$256,743 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 12,500 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 677 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,448 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,263 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 10,388 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 16 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 89 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 496 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1447961, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 16, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,896,895 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,102,119 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,794,776 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,656,512 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,861,736 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $108,583 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,753,153 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,754,388 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,422 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 615 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 131.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1444747, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 7, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,886,659 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,962,490 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,924,169 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,900,672 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$976,503 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $112,300 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$864,203 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$867,949 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,383 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 697 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 133 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1369977, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 1, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,019,639 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,006,596 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,013,043 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,849,115 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$836,072 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,131,638 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $295,566 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $292,885 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,370 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 650 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 116.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1337153, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,096,095 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,412,841 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,683,254 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,865,679 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$182,425 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $638,600 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $456,175 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $449,387 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,557 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 623 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 147.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1311087, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 15, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,142,526 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,665,185 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,477,341 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,676,271 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $801,070 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,576 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $835,646 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $827,949 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,500 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 752 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 102.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253592, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,264,746 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,438,833 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,825,913 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,598,148 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$772,235 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,663 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$742,572 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$750,966 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,117 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 742 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 91.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241799, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,461,933 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,962,074 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,499,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,252,719 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$752,860 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,687 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$751,173 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$756,364 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,653 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 697 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 111.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188184, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,643,493 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,851,667 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,791,826 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,199,394 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$407,568 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,749 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$401,819 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$406,395 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,971 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 680 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 195.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 60.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1155644, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,867,914 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,512,647 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,355,267 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,891,863 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $463,404 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,450 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $470,854 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $469,638 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,711 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 573 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138493, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 28, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,819,698 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,063,977 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,755,721 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,835,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $919,849 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,548 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $926,397 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $922,309 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,235 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 524 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 187.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1091873, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 14, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,402,462 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,135,342 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,267,120 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,414,480 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$147,360 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,957 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$136,403 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$142,659 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,084 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 542 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 171.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078837, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 5, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,331,815 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,148,943 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,182,872 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,705,957 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $476,915 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,745 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $486,660 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $485,017 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,759 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 465 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049903, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 29, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,034,388 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,863,855 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,170,533 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,113 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,682 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,181,964 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,950 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 487 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 209.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 86.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433455, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,104,790 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,737,611 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,367,179 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,320 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,387 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,377,112 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,559 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 459 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 262.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 90.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423116, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 9, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,939,985 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,682,016 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,257,969 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,690 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,863 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,269,796 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,930 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 413 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 359.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 101.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387278, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for December 21, 2007 to September 30, 2008 — a reporting period of 284 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,438,495 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,403,712 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,034,783 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,035 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,042 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,034,776 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,992 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 357 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 289.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 95.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 357801, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 20, 2007
Cost report for October 1, 2007 to December 20, 2007 — a reporting period of 80 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 23, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,191,678 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,070,639 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $121,039 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,966 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,215 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $122,790 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,488 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 276.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 335780, read from the public cost report file SNFFY2008.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,349,446 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,231,581 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $117,865 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,844 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $17,005 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $121,704 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,944 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 361 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 323.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302085, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 4, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,702,193 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,602,585 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $99,608 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,820 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $16,224 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $107,204 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,142 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 286 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 497.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 267595, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 27, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,053,125 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,938,734 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $114,391 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,367 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $12,091 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $127,667 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,204 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 278 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 474.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 155.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 235481, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 5, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,276,794 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,841,538 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $435,256 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,581 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $17,066 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $466,771 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,469 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 236 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 443.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 184.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 198940, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 29, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,702,085 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,709,967 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$7,882 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $65,924 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $27,350 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $30,692 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,910 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 202 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 627.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 217.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 162416, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 3, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,104,024 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,243,102 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$139,078 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,128 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $22,939 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$101,889 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,975 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 209 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 478.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 210.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 134268, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,597,199 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,793,398 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$196,199 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,747 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20,006 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$155,458 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,216 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 445.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 115451, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 13, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,228,228 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,943,097 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$714,869 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $57,222 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $62,914 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$720,561 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,330 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 367.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 221.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 50660, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on July 29, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,308,098 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,249,968 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $58,130 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,974 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20,524 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $84,580 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,706 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 167 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 570.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 243.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 155469, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 24, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,427,645 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,066,974 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $360,671 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,639 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $27,899 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $376,411 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,555 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 162 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 434.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 262.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 50656, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 13, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,132,867 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,870,722 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $262,145 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,241 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $18,515 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $292,871 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,918 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 39 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,715.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,126.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 50654, 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 |
|---|---|---|---|---|
| SC MASTER TENANT, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 09/13/2023 |
| PROVIDENCE GROUP NH, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/09/2024 |
| BRADFORD, KODY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/22/2025 |
| OAKMONT WEST SC OWNER LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2023 |
| THERIOT ROLEY, LAURIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/22/2025 |
| APT, FREDERICK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| BRADFORD, KODY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/09/2024 |
| DAVIS, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/09/2024 |
| THERIOT ROLEY, LAURIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/09/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of REEDY RIVER COMMUNITY HEALTHCARE LLC (enrollment ID O20240419001541).
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 |
|---|---|---|---|---|---|
| SC MASTER TENANT, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/13/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON H MURRAY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 1/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK D HANCOCK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 1/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/9/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/9/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/9/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| KODY BRADFORD | Individual | ADP OF THE SNF | Not stated in the filing | 8/22/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURIE MARIE THERIOT ROLEY | Individual | ADP OF THE SNF | Not stated in the filing | 8/22/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OAKMONT WEST SC OWNER LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| FREDERICK G APT | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN T MITCHELL | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA O JERGENSEN | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGELA DAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KODY BRADFORD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURIE MARIE THERIOT ROLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- October 1, 2025: ROBERT SHARON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DEREK S LOYD no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DAMIAN RODGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HCR III HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANDREA SYPE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HCR II HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KATHRYN H HOOPS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LUKE PILE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: THOMAS R KILE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARTIN D ALLEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARK D HANCOCK (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LAURIE MARIE THERIOT ROLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LAURIE MARIE THERIOT ROLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANGELA DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: OAKMONT WEST SC OWNER LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOSHUA O JERGENSEN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PROVIDENCE GROUP NH, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KODY BRADFORD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KODY BRADFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: FREDERICK G APT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SC MASTER TENANT, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHN T MITCHELL (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JASON H MURRAY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Recent changes on this record
- February 19, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- January 30, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- December 16, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 1, 2025: ROBERT SHARON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DEREK S LOYD no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DAMIAN RODGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HCR III HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANDREA SYPE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HCR II HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KATHRYN H HOOPS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LUKE PILE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: THOMAS R KILE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARTIN D ALLEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARK D HANCOCK (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LAURIE MARIE THERIOT ROLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LAURIE MARIE THERIOT ROLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANGELA DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: OAKMONT WEST SC OWNER LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOSHUA O JERGENSEN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PROVIDENCE GROUP NH, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KODY BRADFORD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KODY BRADFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: FREDERICK G APT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SC MASTER TENANT, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHN T MITCHELL (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JASON H MURRAY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: enrollment_id: O20080204000336 → O20240419001541. Skilled_Nursing_Facility_Enrollments_:_2025-10-01.csv
- December 7, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- December 1, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 28, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 15, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 22, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 18, 2025 | December 18, 2025 | 2 | 0 |
| 2 | October 24, 2024 | October 24, 2024 | 4 | 0 |
| 3 | February 14, 2023 | February 14, 2023 | 2 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 1, 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | July 27, 2026 |
| December 18, 2025 | 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 | January 13, 2026 |
| October 24, 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 | November 15, 2024 |
| October 24, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | November 15, 2024 |
| October 24, 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | November 15, 2024 |
| October 24, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | November 15, 2024 |
| February 14, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | March 21, 2023 |
| February 14, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | J | No | Deficient, Provider has date of correction | March 21, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | REEDY RIVER COMMUNITY HEALTHCARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1990-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Greenville |
| Telephone Number | 8642462721 |
| Chain Name | PACS GROUP |
| Chain ID | 690 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 88 |
| Average Number of Residents per Day | 117.0 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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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 February 19, 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 Promedica Skilled Nursing And Reh- Greenville West
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 South Carolina 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 425294.