Skilled nursing facility · CMS certification number 445441
HUMBOLDT NURSING HOME
HUMBOLDT, Tennessee
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.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026.
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 April 1, 2020 to March 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 7, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,340,642 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $503,217 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,837,425 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,588,523 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$751,098 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,255,491 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $504,393 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $504,393 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,755 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,937 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,491 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 20,183 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 41 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 58 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 597.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336131, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended March 31, 2020
Cost report for April 1, 2019 to March 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 18, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,249,017 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $939,127 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,309,890 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,082,241 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$772,351 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,149 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$759,202 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$759,202 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,295 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 715.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 164.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304952, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended March 31, 2019
Cost report for April 1, 2018 to March 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,175,564 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $836,254 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,339,310 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,714,973 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$375,663 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $143,654 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$232,009 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$232,009 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,082 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 191 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 755.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1276476, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended March 31, 2018
Cost report for April 1, 2017 to March 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 29, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,171,685 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $471,295 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,700,390 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,793,912 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,093,522 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $395,753 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$697,769 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$697,769 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,365 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 171.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1256443, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended March 31, 2017
Cost report for April 1, 2016 to March 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 18, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,083,113 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $525,799 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,557,314 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,621,247 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,063,933 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,098,655 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,034,722 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,034,722 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,602 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 174.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221380, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended March 31, 2016
Cost report for April 1, 2015 to March 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 18, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,202,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $709,561 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,492,874 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,397,894 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$905,020 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $351,347 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$553,673 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$553,673 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,721 | 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 | 31.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 12.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182247, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended March 31, 2015
Cost report for April 1, 2014 to March 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,877,257 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $809,932 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,067,325 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,736,627 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$669,302 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $192,086 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$477,216 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$477,216 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,911 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 19.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143308, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended March 31, 2014
Cost report for April 1, 2013 to March 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 19, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,835,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $723,620 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,112,235 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,682,132 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$569,897 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,783 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$567,114 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$567,114 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,429 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 28.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 257.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108189, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended March 31, 2013
Cost report for April 1, 2012 to March 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 19, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,409,093 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,057,740 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,351,353 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,672,251 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$320,898 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $383 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$320,515 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$320,515 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,852 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 16.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 307.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076475, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended March 31, 2012
Cost report for April 1, 2011 to March 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 15, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,156,809 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $961,294 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,195,515 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,918,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$722,766 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $463 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$722,303 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$722,303 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,369 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 10.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 264.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046346, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended March 31, 2011
Cost report for April 1, 2010 to March 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,438,210 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,482,920 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$44,710 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,745 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$41,965 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,168 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 9.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 384 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431480, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended March 31, 2010
Cost report for April 1, 2009 to March 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,939,964 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,795,777 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $144,187 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,814 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $151,001 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,796 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 89.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 45.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 566.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417114, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended March 31, 2009
Cost report for April 1, 2008 to March 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,613,349 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,599,043 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $14,306 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $378 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $14,684 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,831 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 114 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 25.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 358.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 416383, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended March 31, 2008
Cost report for April 1, 2007 to March 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 4, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,161,556 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,320,227 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$158,671 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $316 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$158,355 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,929 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 39.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 357.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327947, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended March 31, 2007
Cost report for April 1, 2006 to March 31, 2007 — 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 | $6,154,826 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,198,540 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$43,714 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$43,686 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,033 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 77.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 458.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 296653, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended March 31, 2006
Cost report for April 1, 2005 to March 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 29, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,716,625 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,725,058 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$8,433 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$8,405 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,947 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 103 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 91.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 588.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 368.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292990, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended March 31, 2005
Cost report for April 1, 2004 to March 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on January 20, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,899,257 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,780,328 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $118,929 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$2,254 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $116,675 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,534 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 142.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 261.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 240986, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended March 31, 2004
Cost report for April 1, 2003 to March 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on August 23, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,325,325 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,299,441 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $25,884 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,534 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $29,418 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,190 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 80.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 473.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261692, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended March 31, 2003
Cost report for April 1, 2002 to March 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on September 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,651,377 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,541,894 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $109,483 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,684 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $116,167 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,843 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 590.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 386.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194345, read from the public cost report file SNFFY2002.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
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
No change in ownership appears in CMS’s ownership data for this facility.
Recent changes on this record
- November 7, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- January 13, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 18, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- December 16, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- May 29, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- March 18, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- January 18, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- September 30, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- August 19, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- August 19, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- August 15, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- August 13, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- September 8, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- August 26, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- November 4, 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- November 19, 2007: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- August 29, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- August 23, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- January 20, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- September 21, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
Get an email when this record changes
One email a day naming what moved on HUMBOLDT NURSING HOME: 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 November 7, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for HUMBOLDT NURSING HOME
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.
Other public records in Tennessee
- MEMPHIS READY MIX (OAKLAND PLANT), OAKLAND Water discharge permit
- SMYRNA READY MIX, HOHENWALD - PLANT 18, HOHENWALD Water discharge permit
- SOUTHERN CONCRETE PRODUCTS - HENDERSON PLANT, HENDERSON Water discharge permit
- WEST TN READY MIX COVINGTON PLANT, COVINGTON Water discharge permit
- 51 CONCRETE ATOKA READY MIX PT, ATOKA Water discharge permit
- CORDOVA CONCRETE (MORIARTY RD), CORDOVA Water discharge permit
- MMC MATERIALS, INC. (CLARKE ROAD), MEMPHIS Water discharge permit
- 51 CONCRETE MILLINGTON READY M, MILLINGTON Water discharge permit
- ACHESON FOUNDRY & MACHINE WORKS, INC., CHATTANOOGA Air emission source
- NOURYON SURFACE CHEMISTRY LLC, CHATTANOOGA Air emission source
- G2O TECHNOLOGIES LLC, CHATTANOOGA Air emission source
- ADVANCED TECHNICAL CERAMICS COMPANY, CHATTANOOGA Air emission source
- ASTEC INDUSTRIES, INC., CHATTANOOGA Air emission source
- ERLANGER HEALTH, CHATTANOOGA Air emission source
- SOUTH ATLANTIC, LLC D/B/A SOUTH ATLANTIC GALVANIZING, CHATTANOOGA Air emission source
- COLE TECHNOLOGY, INC. D/B/A CHATTANOOGA ARMATURE WORKS, CHATTANOOGA Air emission source
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 445441.