Skilled nursing facility · CMS certification number 445362
SIGNATURE HEALTHCARE OF FENTRESS COUNTY
JAMESTOWN, Tennessee · Medicare and Medicaid
Certified beds, as filed in Care Compare: 140
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 May 22, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,071,938 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $685,053 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,386,885 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,363,970 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $22,915 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $229,263 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $252,178 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $252,178 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 51,240 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,623 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 21,927 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,570 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 31,120 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 81 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 92 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 124 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 297 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 238.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1424596, 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 31, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,028,795 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,449,671 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,579,124 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,002,970 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$423,846 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $596,173 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $172,327 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $172,327 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,430 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 331 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 249.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1406074, 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 May 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,137,008 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,718,222 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,418,786 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,102,992 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$684,206 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $405,238 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$278,968 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$278,968 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,862 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 409 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 216.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1379167, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 19, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,647,355 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,078,694 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,568,661 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,551,012 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $17,649 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $583,557 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $601,206 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $601,206 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,445 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 438 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 236.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332834, 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 July 21, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,424,275 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $977,317 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,446,958 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,708,968 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$262,010 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $506,931 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $244,921 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $244,921 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,726 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 337 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 257.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1289964, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 30, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,958,677 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,274,527 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,684,150 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,639,844 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $44,306 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,768 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $51,074 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $51,074 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,366 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 341 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 256.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1287951, 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 August 6, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,595,963 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,220,457 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,375,506 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,569,092 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$193,586 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $441,366 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $247,780 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $247,780 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,565 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 270 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 574.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239777, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 27, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,957,646 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,779,188 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,178,458 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,726,529 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $451,929 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,525 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $476,454 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $476,454 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,250 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 311 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 691.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203593, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 26, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,886,722 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,787,512 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,099,210 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,693,604 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,405,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $47,527 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,453,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,453,133 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,824 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 303 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 643.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170788, 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 1, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,722,775 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,036,964 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,685,811 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,414,379 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,271,432 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,733 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,306,165 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,306,165 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,856 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 311 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 572.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1159010, 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 September 9, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,770,947 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,667,707 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,103,240 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,467,869 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,635,371 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,461 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,672,832 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,672,832 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,538 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 298 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,032.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109052, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 18, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,127,605 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,125,346 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,002,259 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,058,211 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $944,048 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,994 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $974,042 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $974,042 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,106 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 376 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 636.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1098330, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 7, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,130,679 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,263,650 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,867,029 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,971,188 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $895,841 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,291 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $901,132 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $901,132 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,402 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 376 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 102.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1079897, 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 April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,515,072 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $700,872 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,814,200 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,163,048 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $651,152 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,462 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $711,614 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $711,614 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,367 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 281 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 125.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026860, 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 with audit, processed by CMS on August 13, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,221,852 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,690,555 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $531,297 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $414 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $531,711 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,989 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 315 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 428.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 111.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431662, 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 March 24, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,874,144 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,147,006 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $727,138 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,316 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $728,454 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,762 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 342 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 260.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 101.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 396123, 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 November 11, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,501,654 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,610,068 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $891,586 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $656 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $892,242 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,135 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 369 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 181.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 97.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359026, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for November 1, 2007 to December 31, 2007 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 18, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,313,550 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,145,338 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $168,212 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $168,255 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 6,589 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 338.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 339468, read from the public cost report file SNFFY2008.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 19, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,826,159 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,521,040 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $305,119 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $572 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $305,691 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,572 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 371 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 200.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 112.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 296618, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 25, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,790,211 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,663,346 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $126,865 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,869 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $129,734 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,981 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 373 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 226.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 279572, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for March 24, 2004 to September 30, 2004 — a reporting period of 190 days, not a full year, on form CMS-2540-96, settled, processed by CMS on January 27, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,371,274 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,041,885 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $329,389 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,112 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $330,501 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,015 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,123.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 247.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241640, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 27, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,478,579 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,431,946 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $46,633 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,906 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $49,539 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,410 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 318 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 707.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 152.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 218376, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for November 1, 2002 to December 31, 2002 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on November 22, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $722,508 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,030,171 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$307,663 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$178,635 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$486,298 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,737 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 34 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 351.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 227.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 200297, read from the public cost report file SNFFY2003.zip.
Fiscal year 2000, ended December 14, 2000
Cost report for January 1, 2000 to December 14, 2000 — a reporting period of 348 days, on form CMS-2540-96, as submitted, processed by CMS on February 24, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,017,440 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,388,083 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,370,643 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $486,967 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$883,676 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,943 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 385 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 119.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 132046, read from the public cost report file SNFFY2000.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for December 1, 1997 to December 31, 1998 — a reporting period of 395 days, on form CMS-2540-96, as submitted, processed by CMS on February 15, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,523,667 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,531,765 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$8,098 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,405 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $307 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,967 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 243 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 217.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 64997, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended November 30, 1997
Cost report for January 1, 1997 to November 30, 1997 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on November 4, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,031,459 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,812,678 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $218,781 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,612 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $232,393 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,195 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 275 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 521.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 157.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 62581, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 12, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,048,063 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,020,411 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $27,652 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,719 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $41,371 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,844 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 590.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 241.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 62580, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| LP CR HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 11/01/2007 |
| AGEMO HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 10/01/2016 |
| JJLA LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 11/01/2007 |
| LPSNF II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 10/01/2016 |
| STEIER III, ELMER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 11/01/2007 |
| WHEATEN LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 11/01/2007 |
| HARRISON, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2007 |
| MCKENNEY, ALLISON | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 04/14/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LP JAMESTOWN LLC (enrollment ID O20070905000259).
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 |
|---|---|---|---|---|---|
| LP CR HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| AGEMO HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 10/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELMER JOSEPH STEIER III | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20 | 11/1/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IRA SMEDRA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12 | 11/1/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JJLA LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20 | 11/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| LPSNF II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 74 | 10/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| WHEATEN LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 11/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN H HARRISON | Individual | CORPORATE OFFICER | Not stated in the filing | 11/1/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SIGNATURE HEALTHCARE LLC | Organization | OTHER | 0 | 11/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALLISON MCKENNEY | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 4/14/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2024: JAMES E RIFE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: ALLISON MCKENNEY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since April 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- November 1, 2023: CATHY TAYLOR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: JAMES E RIFE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- July 17, 2023: DONALD TYNDALL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: DONALD TYNDALL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: CATHY TAYLOR (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- May 22, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 31, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 1, 2024: JAMES E RIFE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: ALLISON MCKENNEY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since April 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- May 23, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- November 1, 2023: CATHY TAYLOR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: JAMES E RIFE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- July 17, 2023: DONALD TYNDALL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: DONALD TYNDALL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: CATHY TAYLOR (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- September 19, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 21, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- June 30, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 6, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 27, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 26, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- June 1, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- September 9, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- June 18, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 7, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- April 19, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- August 13, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- March 24, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- November 11, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- May 18, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2008.zip
- February 3, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2008.zip
- December 19, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- November 19, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- May 25, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- January 27, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- September 14, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- May 27, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- November 22, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2003.zip
- September 1, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- February 24, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- February 15, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- November 4, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- August 12, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 7, 2026 | January 7, 2026 | 4 | 6 |
| 2 | June 15, 2022 | June 15, 2022 | 14 | 4 |
| 3 | May 15, 2019 | May 15, 2019 | 5 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 7, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | January 16, 2026 |
| January 7, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | January 16, 2026 |
| January 7, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | January 16, 2026 |
| January 7, 2026 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | No | Deficient, Provider has date of correction | January 16, 2026 |
| February 23, 2024 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Yes | Deficient, Provider has date of correction | March 29, 2024 |
| February 23, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | March 29, 2024 |
| June 15, 2022 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | 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 | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | July 12, 2022 |
| June 15, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | July 12, 2022 |
| May 15, 2019 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | June 14, 2019 |
| May 15, 2019 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | June 14, 2019 |
| May 15, 2019 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | June 14, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | LP JAMESTOWN LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1996-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Fentress |
| Telephone Number | 9318795859 |
| Chain Name | SIGNATURE HEALTHCARE |
| Chain ID | 474 |
| 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 | 140 |
| Average Number of Residents per Day | 70.8 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| 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 SIGNATURE HEALTHCARE OF FENTRESS COUNTY: 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 May 22, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for SIGNATURE HEALTHCARE OF FENTRESS COUNTY
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 445362.