Skilled nursing facility · CMS certification number 445319
ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER
WINCHESTER, Tennessee · Medicare and Medicaid
Certified beds, as filed in Care Compare: 80
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, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 24, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,176,861 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,168,986 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,007,875 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,723,076 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$715,201 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $360,285 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$354,916 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$354,916 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 29,280 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,036 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,262 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,207 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,505 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 65 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 54 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 180 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 299 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 227.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450576, 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 March 7, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,795,271 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,861,791 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,933,480 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,068,635 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$135,155 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $421,641 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $286,486 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $286,486 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,873 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 266 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1404889, 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 January 26, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,388,651 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,467,688 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,920,963 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,807,221 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $113,742 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $211,641 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $325,383 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $325,383 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,392 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,104 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372642, 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, reopened, processed by CMS on February 14, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,912,283 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,433,811 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,478,472 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,021,805 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $456,667 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $459,658 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $916,325 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $916,325 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,093 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 182 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373362, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,500,905 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,294,042 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,206,863 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,647,078 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$440,215 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,250,302 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $810,087 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $810,087 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,250 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 647.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 235.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331119, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for April 1, 2019 to December 31, 2019 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 20, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,393,451 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,394,300 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,999,151 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,881,495 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $117,656 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,270 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $118,926 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $118,926 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,563 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 137 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 374 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309163, 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 17, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,181,178 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $439,297 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,741,881 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,754,657 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,776 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,117,383 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,104,607 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,104,607 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,237 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 137 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 837.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260356, 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 August 2, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,437,260 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $247,987 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,189,273 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,581,473 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$392,200 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $229,250 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$162,950 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$162,950 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,464 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 181 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 509.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239354, 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 December 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,903,411 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $205,799 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,697,612 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,335,533 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$637,921 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $183,711 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$454,210 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$454,210 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,978 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 386.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1216804, 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 June 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,426,423 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $143,614 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,282,809 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,829,731 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$546,922 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $173,006 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$373,916 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$373,916 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,389 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 188.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1159830, 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 December 14, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,021,199 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $140,533 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,880,666 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,803,352 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$922,686 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $70,266 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$852,420 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$852,420 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,049 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 285.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148766, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for October 1, 2013 to December 31, 2013 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on November 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,195,326 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $94,686 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,100,640 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,359,285 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$258,645 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $104 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$258,541 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$258,541 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,344 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 145.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1113288, read from the public cost report file SNF10FY2014.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 December 1, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,425,174 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $347,788 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,077,386 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,995,715 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $81,671 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,538 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $97,209 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $97,209 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,716 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 256 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 255.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081190, 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 December 12, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,328,058 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$24,980 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,353,038 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,925,315 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $427,723 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,282 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $440,005 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $440,005 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,588 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 236 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 374.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1052120, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 15, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,062,104 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,957,735 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $104,369 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,836 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $113,205 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,391 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 180 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 460.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 152.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420270, 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 October 25, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,910,854 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,747,308 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $163,546 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,005 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $169,551 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,336 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 337 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 154.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 81.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 388905, 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 March 16, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,682,172 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,555,184 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $126,988 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,038 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $153,026 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,761 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 408.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 145.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 365965, 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 June 9, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,818,758 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,393,703 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $425,055 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,410 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $443,465 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,653 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 475.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 218.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 342953, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on November 25, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,504,532 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,215,150 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $289,382 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,636 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $301,018 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,388 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 146 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 616.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328877, 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 August 29, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,767,339 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,057,100 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$289,761 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,175 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$274,586 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,955 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 349.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 206.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 262123, 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 August 31, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,774,462 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,740,046 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $34,416 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,662 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $45,078 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,578 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 291.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 174 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232133, 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, as submitted, processed by CMS on June 29, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,591,006 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,314,163 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $276,843 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,578 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $283,421 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,007 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 140.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 185218, 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 April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,198,586 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,243,407 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$44,821 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,140 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$42,681 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,181 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 109.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174173, 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 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,354,053 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,017,128 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $336,925 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,459 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $341,384 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,155 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 208 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 130.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173806, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 3, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,260,978 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,943,193 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $317,785 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,086 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $319,871 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,459 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 244 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 112.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 135889, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on July 20, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,921,217 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,328,008 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$406,791 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,330 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$405,461 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,565 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 178 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 525.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 94580, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on February 1, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,793,135 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,733,135 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $60,000 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,697 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $62,697 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,686 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 187.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 94579, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for July 1, 1996 to June 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 18, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,808,447 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,494,978 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $313,469 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,483 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $317,952 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,431 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 686 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 46.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 41.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 94578, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended June 30, 1996
Cost report for July 1, 1995 to June 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 31, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | −$496,088 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,004,533 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,500,621 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,015 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$2,496,606 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,970 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 402.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 226.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 94577, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| DAVIS, CLINTON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2019 |
| GAMMADA, EPHRAIM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/28/2024 |
| HOLCOMBE, MICHELLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2019 |
| MALIN, DOUGLAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/28/2024 |
| OCOEE FOUNDATION INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2019 |
| OCOEE WINCHESTER PROPERTY INVESTMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2019 |
| PIONEER CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/14/2025 |
| SHEEHAN, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2019 |
| TWIN RIVERS HEALTH & REHABILITATION LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/14/2025 |
| SHEEHAN, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/07/2024 |
| SHEEHAN, MARGARET | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/15/2022 |
| BRADLEY, DON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2024 |
| BURTON, WILLIAM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2024 |
| KUPCHYNSKY, KATHLEEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2024 |
| PHILLIPS, DOROTHY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2024 |
| SHEEHAN, JOHN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2024 |
| SHEEHAN, MARGARET | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/15/2022 |
| SMITH, FRANK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2024 |
| BRADLEY, DON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2024 |
| BURTON, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2024 |
| DAVIS, CLINTON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2019 |
| HOLCOMBE, MICHELLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2019 |
| KUPCHYNSKY, KATHLEEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2024 |
| MALIN, DOUGLAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/28/2024 |
| OCOEE FOUNDATION INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2019 |
| PHILLIPS, DOROTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2024 |
| PIONEER CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2019 |
| SHEEHAN, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2024 |
| SHEEHAN, MARGARET | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2019 |
| SMITH, FRANK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2024 |
| TWIN RIVERS HEALTH & REHABILITATION LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER, LLC (enrollment ID O20190612001989).
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 |
|---|---|---|---|---|---|
| OCOEE FOUNDATION INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLINTON DAVIS | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS MALIN | Individual | ADP OF THE SNF | Not stated in the filing | 2/28/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EPHRAIM B GAMMADA | Individual | ADP OF THE SNF | Not stated in the filing | 2/28/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN J SHEEHAN | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELLE HOLCOMBE | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OCOEE FOUNDATION INC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| OCOEE WINCHESTER PROPERTY INVESTMENT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| PIONEER CONSULTING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TWIN RIVERS HEALTH & REHABILITATION LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN J SHEEHAN | Individual | CORPORATE OFFICER | 100 | 2/22/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN SHEEHAN | Individual | CORPORATE OFFICER | 100 | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET SHEEHAN | Individual | CORPORATE OFFICER | 100 | 12/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DON BRADLEY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOROTHY C PHILLIPS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANK ALAN SMITH | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN J SHEEHAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 4/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN SHEEHAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHLEEN S KUPCHYNSKY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET SHEEHAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM BURTON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLINTON DAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DON BRADLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOROTHY C PHILLIPS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS MALIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/28/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANK ALAN SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN J SHEEHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN SHEEHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHLEEN S KUPCHYNSKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET SHEEHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELLE HOLCOMBE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OCOEE FOUNDATION INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| PIONEER CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| TWIN RIVERS HEALTH & REHABILITATION LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILLIAM BURTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2025: OCOEE FOUNDATION INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: OCOEE FOUNDATION INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: WILLIAM BURTON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: WILLIAM BURTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DOROTHY C PHILLIPS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DOROTHY C PHILLIPS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DON BRADLEY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DON BRADLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET SHEEHAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET SHEEHAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET SHEEHAN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FRANK ALAN SMITH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FRANK ALAN SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CLINTON DAVIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: OCOEE WINCHESTER PROPERTY INVESTMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MICHELLE HOLCOMBE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MICHELLE HOLCOMBE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PIONEER CONSULTING, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PIONEER CONSULTING, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KATHLEEN S KUPCHYNSKY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KATHLEEN S KUPCHYNSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DOUGLAS MALIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DOUGLAS MALIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TWIN RIVERS HEALTH & REHABILITATION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN SHEEHAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN SHEEHAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN SHEEHAN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: EPHRAIM B GAMMADA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN J SHEEHAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN J SHEEHAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN J SHEEHAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Recent changes on this record
- June 24, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 1, 2025: OCOEE FOUNDATION INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: OCOEE FOUNDATION INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: WILLIAM BURTON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: WILLIAM BURTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DOROTHY C PHILLIPS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DOROTHY C PHILLIPS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DON BRADLEY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DON BRADLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET SHEEHAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET SHEEHAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET SHEEHAN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FRANK ALAN SMITH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FRANK ALAN SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CLINTON DAVIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: OCOEE WINCHESTER PROPERTY INVESTMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MICHELLE HOLCOMBE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MICHELLE HOLCOMBE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PIONEER CONSULTING, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PIONEER CONSULTING, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KATHLEEN S KUPCHYNSKY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KATHLEEN S KUPCHYNSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DOUGLAS MALIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DOUGLAS MALIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TWIN RIVERS HEALTH & REHABILITATION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN SHEEHAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN SHEEHAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN SHEEHAN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: EPHRAIM B GAMMADA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN J SHEEHAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN J SHEEHAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN J SHEEHAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- March 7, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- February 14, 2024: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- January 26, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 16, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- January 20, 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 17, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- January 16, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 2, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 30, 2025 | July 30, 2025 | 3 | 17 |
| 2 | April 3, 2024 | April 3, 2024 | 5 | 4 |
| 3 | December 14, 2021 | December 14, 2021 | 1 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
9 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 30, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | August 30, 2025 |
| July 30, 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 | August 30, 2025 |
| July 30, 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 | August 30, 2025 |
| April 3, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | May 3, 2024 |
| April 3, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | May 3, 2024 |
| April 3, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | May 3, 2024 |
| April 3, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | May 3, 2024 |
| April 3, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | May 3, 2024 |
| December 14, 2021 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | January 5, 2022 |
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 | ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1993-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Franklin |
| Telephone Number | 9319670200 |
| Chain Name | TWIN RIVERS HEALTH & REHABILITATION |
| Chain ID | 532 |
| 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 | 80 |
| Average Number of Residents per Day | 52.0 |
| Overall Rating | 3 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| 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.
Get an email when this record changes
One email a day naming what moved on ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER: 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 June 24, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER
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 445319.