Skilled nursing facility · CMS certification number 445310
DIVERSICARE OF COPPER BASIN
COPPERHILL, Tennessee · Medicare and Medicaid
Certified beds, as filed in Care Compare: 135
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 January 1, 2025 to March 31, 2025 — a reporting period of 89 days, not a full year, on form CMS-2540-10, as submitted, processed by CMS on June 24, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,237,799 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $317,628 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $920,171 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,037,592 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$117,421 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,898 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$73,523 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$73,523 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 4,500 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 275 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,737 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 731 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 2,743 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 5 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 26 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 347.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450575, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2024, ended December 31, 2024
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,027,872 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $946,862 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,081,010 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,580,018 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$499,008 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $383,154 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$115,854 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$115,854 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,615 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 147 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,049.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435579, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended March 31, 2023
Cost report for June 1, 2022 to March 31, 2023 — a reporting period of 303 days, on form CMS-2540-10, settled, processed by CMS on December 10, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,705,745 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $886,348 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,819,397 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,987,671 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,168,274 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $236,158 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$932,116 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$932,116 (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 | 136 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,053 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1400665, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended May 31, 2022
Cost report for June 1, 2021 to May 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 | $5,619,538 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,051,148 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,568,390 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,016,807 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,448,417 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $513,741 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$934,676 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$934,676 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,732 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 346.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362713, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended May 31, 2021
Cost report for June 1, 2020 to May 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,100,139 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $181,241 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,918,898 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,043,131 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,124,233 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $942,698 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,181,535 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,181,535 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,669 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 355.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329852, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended May 31, 2020
Cost report for June 1, 2019 to May 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,844,933 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $808,048 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,036,885 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,302,108 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$265,223 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $118,919 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$146,304 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$146,304 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,890 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 399 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 177.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282651, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended May 31, 2019
Cost report for June 1, 2018 to May 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 25, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,851,552 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,064,458 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,787,094 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,034,890 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$247,796 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,304 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$234,492 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$234,492 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,467 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 523 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 196.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1264938, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended May 31, 2018
Cost report for June 1, 2017 to May 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 10, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,148,386 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,322,799 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,825,587 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,979,619 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$154,032 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,273 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$142,759 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$142,759 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,597 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 432 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 291.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1235444, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended May 31, 2017
Cost report for June 1, 2016 to May 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,562,548 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,500,233 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,062,315 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,072,040 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,725 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,341 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,616 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,616 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,824 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 426 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 212.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222944, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended May 31, 2016
Cost report for June 1, 2015 to May 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 3, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,217,157 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,266,293 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,950,864 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,862,289 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $88,575 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,533 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $102,108 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $102,108 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,056 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 370 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 451.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177880, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended May 31, 2015
Cost report for June 1, 2014 to May 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 29, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,596,722 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,497,244 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,099,478 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,235,005 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$135,527 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,544 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$120,983 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$120,983 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,037 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 305 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150407, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended May 31, 2014
Cost report for June 1, 2013 to May 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,461,982 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,257,183 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,204,799 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,741,538 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$536,739 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,555 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$525,184 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$525,184 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,005 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 303 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 389.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122028, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended May 31, 2013
Cost report for June 1, 2012 to May 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,225,787 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,698,291 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,527,496 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,029,913 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$502,417 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,444 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$488,973 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$488,973 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,561 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 335 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 253.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1079150, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended May 31, 2012
Cost report for June 1, 2011 to May 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 5, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,696,458 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,465,130 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,231,328 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,061,894 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$830,566 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,075 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$817,491 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$817,491 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,686 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 311 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 363.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049640, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended May 31, 2011
Cost report for June 1, 2010 to May 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,963,303 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,369,255 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$405,952 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,955 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$380,997 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,999 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 429 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 177.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 102.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431478, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended May 31, 2010
Cost report for June 1, 2009 to May 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 21, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,715,569 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,122,941 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$407,372 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,120 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$391,252 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,819 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 347 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 434.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 132.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418971, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended May 31, 2009
Cost report for June 1, 2008 to May 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 27, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,065,332 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,044,535 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $20,797 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,673 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $50,470 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,698 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 315 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 445.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 419534, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended May 31, 2008
Cost report for June 1, 2007 to May 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 9, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,386,087 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,944,378 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $441,709 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,127 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $455,836 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,740 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 319 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 378.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 146.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387261, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended May 31, 2007
Cost report for June 1, 2006 to May 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,647,832 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,890,478 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $757,354 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,697 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $772,051 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,360 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 378 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 348.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 299971, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended May 31, 2006
Cost report for June 1, 2005 to May 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 29, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,578,727 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,802,417 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $776,310 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,066 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $793,376 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,527 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 378 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 356.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295325, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended May 31, 2005
Cost report for June 1, 2004 to May 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 25, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,791,759 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,421,715 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $370,044 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,683 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $386,727 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,228 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 496 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 148.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 263878, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended May 31, 2004
Cost report for June 1, 2003 to May 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 9, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,287,844 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,568,913 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$281,069 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,777 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$267,292 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,652 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 463 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 159.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230357, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended May 31, 2003
Cost report for June 1, 2002 to May 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 2, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,243,945 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,345,210 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$101,265 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,238 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$86,027 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,464 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 497 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 152.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 87.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 179171, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended May 31, 2002
Cost report for June 1, 2001 to May 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 28, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,208,519 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,020,480 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $188,039 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,333 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $202,372 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,457 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 365 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 351.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 154537, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended May 31, 2001
Cost report for June 1, 2000 to May 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,613,627 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,534,236 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $79,391 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,454 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $95,845 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,201 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 343 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 294.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 120957, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended May 31, 2000
Cost report for June 1, 1999 to May 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,040,557 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,964,560 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $75,997 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,132 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $96,129 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,017 | 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 | 33.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 502.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 178.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 117997, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended May 31, 1999
Cost report for June 1, 1998 to May 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 9, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,795,395 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,913,278 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$117,883 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,498 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$93,385 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,548 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 522.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 234.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 273766, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended May 31, 1998
Cost report for September 1, 1997 to May 31, 1998 — a reporting period of 272 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on March 13, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,843,076 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,719,943 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $123,133 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,229 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $140,362 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,220 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 611.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 231.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 274716, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended August 31, 1997
Cost report for June 1, 1997 to August 31, 1997 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on September 30, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,272,358 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,292,602 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$20,244 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,665 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$12,579 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,567 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 46 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 4,156.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 251.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 62392, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| 166 INDUSTRIAL DRIVE PROPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2025 |
| FAIR, BRENT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/15/2025 |
| ISSA, ELIAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/11/2025 |
| KELLMAN, FRANKLIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/13/2024 |
| RATNER, ERAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2025 |
| BODIE, REBECCA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2025 |
| NEE, STEPHEN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2025 |
| RATNER, ERAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2025 |
| WEISHAAR, MATTHEW | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2025 |
| DIVERSICARE MANAGEMENT SERVICES LP. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2025 |
| FAIR, BRENT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2025 |
| ISSA, ELIAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of DAC OF COPPERHILL LLC (enrollment ID O20260130000342).
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 |
|---|---|---|---|---|---|
| DAC OPCO, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAC ACQUISITION LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 4/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| 166 INDUSTRIAL DRIVE PROPCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRENT C FAIR | Individual | ADP OF THE SNF | Not stated in the filing | 4/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELIAS G ISSA | Individual | ADP OF THE SNF | Not stated in the filing | 4/11/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERAN RATNER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANKLIN SCOTT KELLMAN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/13/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERAN RATNER | Individual | CORPORATE OFFICER | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW J WEISHAAR | Individual | CORPORATE OFFICER | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REBECCA B BODIE | Individual | CORPORATE OFFICER | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN MICHAEL NEE | Individual | CORPORATE OFFICER | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENT C FAIR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIVERSICARE MANAGEMENT SERVICES LP. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELIAS G ISSA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: OCOEE FOUNDATION INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CLINTON DAVIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENT C FAIR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN J SHEEHAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: REBECCA B BODIE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DAC OPCO, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ELIAS G ISSA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ELIAS G ISSA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DAC ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: FRANKLIN SCOTT KELLMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MATTHEW J WEISHAAR (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: 166 INDUSTRIAL DRIVE PROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ERAN RATNER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ERAN RATNER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DIVERSICARE MANAGEMENT SERVICES LP. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEPHEN MICHAEL NEE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENT C FAIR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENT C FAIR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- March 1, 2024: CRAIG PEREZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JAMES ZIEGLER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JAMES ZIEGLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LISA M LAY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LISA M LAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LIFE CARE CENTERS OF AMERICA, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: RICHARD SWANKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: RICHARD SWANKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: CINDY S CROSS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JOAN E THURMOND no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JOHN F. MCMULLAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TODD FLETCHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TODD FLETCHER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TERRY HENRY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: FORREST L PRESTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: FORREST L PRESTON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: FORREST L PRESTON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: OCOEE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: CLINTON DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: BRENT C FAIR (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JOHN J SHEEHAN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
Recent changes on this record
- July 29, 2026: A deficiency was cited under tag F 0600, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 1, 2026: OCOEE FOUNDATION INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CLINTON DAVIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENT C FAIR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN J SHEEHAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: REBECCA B BODIE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DAC OPCO, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ELIAS G ISSA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ELIAS G ISSA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DAC ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: FRANKLIN SCOTT KELLMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MATTHEW J WEISHAAR (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: 166 INDUSTRIAL DRIVE PROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ERAN RATNER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ERAN RATNER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DIVERSICARE MANAGEMENT SERVICES LP. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEPHEN MICHAEL NEE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENT C FAIR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENT C FAIR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: enrollment_id: O20230510000271 → O20260130000342. Skilled_Nursing_Facility_Enrollments_:_2026-07-01.csv
- June 24, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- December 10, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- April 10, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 1, 2024: CRAIG PEREZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JAMES ZIEGLER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JAMES ZIEGLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LISA M LAY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LISA M LAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LIFE CARE CENTERS OF AMERICA, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: RICHARD SWANKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: RICHARD SWANKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: CINDY S CROSS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JOAN E THURMOND no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JOHN F. MCMULLAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TODD FLETCHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TODD FLETCHER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TERRY HENRY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: FORREST L PRESTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: FORREST L PRESTON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 26, 2025 | March 26, 2025 | 7 | 10 |
| 2 | March 4, 2022 | March 4, 2022 | 0 | 0 |
| 3 | May 30, 2019 | May 30, 2019 | 7 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
14 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 29, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has no plan of correction | |
| March 26, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | May 2, 2025 |
| March 26, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | May 2, 2025 |
| March 26, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | May 2, 2025 |
| March 26, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | May 2, 2025 |
| March 26, 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 | May 2, 2025 |
| March 26, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | May 2, 2025 |
| May 30, 2019 | 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 1, 2019 |
| May 30, 2019 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | July 1, 2019 |
| May 30, 2019 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | July 1, 2019 |
| May 30, 2019 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | No | Deficient, Provider has date of correction | July 1, 2019 |
| May 30, 2019 | 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 | July 1, 2019 |
| May 30, 2019 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 1, 2019 |
| May 30, 2019 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | No | Deficient, Provider has date of correction | July 1, 2019 |
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 | Non profit - Other |
| Legal Business Name | DAC OF COPPERHILL LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1993-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Polk |
| Telephone Number | 4234963245 |
| Chain Name | DIVERSICARE HEALTHCARE |
| Chain ID | 185 |
| 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 | 135 |
| Average Number of Residents per Day | 38.3 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on DIVERSICARE OF COPPER BASIN: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 29, 2026: A deficiency was cited under tag F 0600, scope and severity D. That is one line of the alert.
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The citable document for DIVERSICARE OF COPPER BASIN
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 Tennessee 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 445310.