Skilled nursing facility · CMS certification number 425373
The Gables of Pelham Skilled Nursing & Rehab
Greenville, South Carolina · Medicare
Certified beds, as filed in Care Compare: 45
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: $11,196.00 · Payment denials: 0. The most recent penalty on file: February 10, 2025, Fine, $5,598. 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, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 26, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,338,184 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $804,561 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,533,623 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,539,638 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,015 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,015 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 16,470 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,130 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 9,724 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 11,854 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 60 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 49 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 108.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1424571, 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 July 25, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,247,807 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $723,949 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,523,858 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,536,749 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,891 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,891 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,855 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 148.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390371, 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 August 21, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,784,547 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $790,517 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,994,030 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,016,108 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$22,078 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,078 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,351 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 30.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362710, 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 August 8, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,968,687 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,040,346 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,928,341 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,062,844 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$134,503 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $134,503 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,894 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 99.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329200, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for July 1, 2020 to December 31, 2020 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 6, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,726,812 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $417,353 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,309,459 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,310,612 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,153 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,153 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,967 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 47.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1306400, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,271,991 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$3,079,107 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,351,098 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,650,581 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,299,483 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $54,975 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,244,508 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,244,508 (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 | 164 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,918 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 314 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 133.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272377, 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 July 15, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,150,989 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,655,772 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,806,761 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,700,357 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,893,596 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $67,053 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,826,543 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,826,543 (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 | 164 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,178 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 282 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 146.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236940, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,623,501 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,832,266 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,455,767 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,875,812 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,420,045 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $61,730 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,358,315 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,358,315 (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 | 164 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,935 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 312 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 137.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1202741, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,064,289 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,850,487 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,914,776 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,143,679 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,228,903 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $73,174 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,155,729 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,155,729 (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 | 164 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,309 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 367 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 123.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1168463, 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 July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,880,846 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $634,374 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,246,472 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,566,470 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,319,998 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $81,728 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,238,270 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,238,270 (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 | 164 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,933 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 367 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 130.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137187, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,958,365 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,167,301 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,791,064 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,251,323 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,460,259 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $68,961 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,391,298 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,391,298 (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 | 164 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,049 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 371 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 137.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1101697, 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 July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,474,670 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,110,011 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,364,659 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,181,208 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $183,451 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $62,601 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $246,052 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $246,052 (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 | 164 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,028 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 363 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 143.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071451, 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 July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,334,657 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,138,054 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,196,603 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,272,119 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$75,516 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $74,883 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$633 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$633 (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 | 164 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,320 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 358 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 146.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1040723, 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 October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,853,802 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,711,295 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,142,507 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,883,515 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$741,008 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $100,105 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$640,903 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$640,903 (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 | 164 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,012 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 315 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 149.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016791, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended October 31, 2010
Cost report for January 1, 2010 to October 31, 2010 — a reporting period of 303 days, on form CMS-2540-96, settled, processed by CMS on October 21, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,897,695 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,359,221 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $538,474 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $65,007 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $603,481 (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 | 164 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,267 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 252 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 151.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418892, 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, processed by CMS on August 12, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,644,944 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,501,176 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,143,768 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $150,688 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,294,456 (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 | 164 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,247 | 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 | 45.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 263.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385255, 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 August 31, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,641,816 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,152,012 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,489,804 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $210,033 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,699,837 (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 | 164 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,415 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 225 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 228.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355910, 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, processed by CMS on February 12, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,017,428 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,837,673 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,179,755 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $140,665 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,320,420 (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 | 164 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,841 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 276 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 187.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333489, 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, processed by CMS on April 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,385,068 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,235,214 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,149,854 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $90,208 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,240,062 (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 | 164 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,941 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 255 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 203.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 307453, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,891,147 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,826,815 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,064,332 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $87,661 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,151,993 (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 | 164 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,773 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 215 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 240.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 276536, 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 February 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,308,629 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,382,271 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $926,358 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $82,878 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,009,236 (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 | 164 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,533 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 204 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 228.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243047, 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 January 20, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,317,240 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,726,229 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $591,011 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $63,165 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $654,176 (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 | 164 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,431 | 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 | 33.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 221.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 204544, 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 February 18, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,812,241 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,675,424 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $136,817 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $153,046 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $289,863 (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 | 164 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,257 | 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 | 38.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 223.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169115, 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 April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,230,259 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,335,054 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$104,795 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $80,831 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$23,964 (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 | 164 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,791 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 244.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141830, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for July 5, 2000 to December 31, 2000 — a reporting period of 179 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 26, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,483,377 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,998,231 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$514,854 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,100 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$490,754 (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 | 164 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,944 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 215.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15784, read from the public cost report file SNFFY2000.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 |
|---|---|---|---|---|
| FSL SENIOR LIVING VENTURES, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/17/2020 |
| FC SENIOR LIVING INVESTMENTS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 50% | since 04/01/2020 |
| FOSTER SENIOR LIVING, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 50% | since 04/01/2020 |
| FOSTER, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/17/2020 |
| WILLARD, SUSAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/17/2020 |
| FOSTER, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2020 |
| FSL SENIOR LIVING VENTURES, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2020 |
| WILLARD, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2020 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FSL GREENVILLE SC TENANT LLC (enrollment ID O20200910002057).
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 |
|---|---|---|---|---|---|
| FSL SENIOR LIVING VENTURES, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/17/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| FC SENIOR LIVING INVESTMENTS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49.9 | 4/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| FOSTER SENIOR LIVING, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50.1 | 4/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN D FOSTER | Individual | CORPORATE OFFICER | 100 | 4/17/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN A WILLARD | Individual | CORPORATE OFFICER | 100 | 4/17/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FSL SENIOR LIVING VENTURES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 7/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN D FOSTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 7/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN A WILLARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 7/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- May 26, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 25, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 21, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 8, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- December 6, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- January 25, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- October 26, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 15, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 25, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 25, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 24, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 23, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 23, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- October 21, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- September 8, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2011.zip
- August 12, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 31, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- February 12, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- April 24, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- May 1, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- February 16, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- January 20, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- February 18, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- April 7, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 26, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 24, 2025 | July 24, 2025 | 4 | 0 |
| 2 | June 21, 2024 | June 21, 2024 | 3 | 1 |
| 3 | June 30, 2022 | June 30, 2022 | 3 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
10 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 24, 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | August 24, 2025 |
| July 24, 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 | August 24, 2025 |
| July 24, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | August 24, 2025 |
| July 24, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | August 24, 2025 |
| February 10, 2025 | 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. | J | Yes | Deficient, Provider has date of correction | March 11, 2025 |
| February 10, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | March 11, 2025 |
| February 10, 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. | J | Yes | Deficient, Provider has date of correction | March 11, 2025 |
| June 30, 2022 | 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 | July 22, 2022 |
| June 30, 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | July 22, 2022 |
| June 30, 2022 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | July 22, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| February 10, 2025 | Fine | $5,598 | 33058 | ||
| February 10, 2025 | Fine | $5,598 | 33065 |
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 |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | FSL GREENVILLE SC TENANT LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2000-07-05 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Greenville |
| Telephone Number | 8642866600 |
| 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 | 45 |
| Average Number of Residents per Day | 32.0 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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On May 26, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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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 425373.