Skilled nursing facility · CMS certification number 495155
ANNANDALE HEALTHCARE CENTER
ANNANDALE, Virginia · Medicare and Medicaid
Certified beds, as filed in Care Compare: 222
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: 1 · Fines: 1 · Fines, total amount: $90,896.00 · Payment denials: 0. The most recent penalty on file: October 9, 2024, Fine, $90,896. 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, as submitted, processed by CMS on June 12, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,004,976 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,599,926 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $28,405,050 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,904,047 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,501,003 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $96,800 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,597,803 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,597,803 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 81,252 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,404 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 58,612 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 16,232 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 77,248 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 83 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 256 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 224 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 563 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 228.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1428985, 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 June 25, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,232,437 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,536,845 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,695,592 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,867,181 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,828,411 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $644,239 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,472,650 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,472,650 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 68,493 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 451 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,931.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1432085, 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 October 29, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,693,866 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,462,941 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,230,925 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,406,780 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,824,145 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $836,179 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,660,324 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,660,322 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 65,025 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 524 | 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 | 1,057.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398335, 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 November 23, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,123,984 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,256,570 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,867,414 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,387,016 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,480,398 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $572,504 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,052,902 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,052,902 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,773 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 471 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 34.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1368627, 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 March 3, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,633,281 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,219,315 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,413,966 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,856,963 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $557,003 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $587,963 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,144,966 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,144,966 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,314 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 451 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 7.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343782, 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 February 24, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,811,468 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,699,414 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,112,054 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,137,946 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,974,108 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,081 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,985,189 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,985,187 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 74,227 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 343 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 16.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 216.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310879, 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 May 6, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,291,254 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,893,969 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,397,285 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,197,940 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,199,345 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,281 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,206,626 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,206,625 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 71,597 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 429 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 13.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1255047, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for May 1, 2017 to December 31, 2017 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,649,544 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,833,436 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,816,108 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,655,706 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $160,402 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,847 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $162,249 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $162,249 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,848 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 246 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 263.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 186.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222236, 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 20, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,659,323 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,503,659 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,155,664 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,897,476 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $258,188 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,748 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $310,936 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $310,936 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 65,023 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 516 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 126.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1201771, 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 December 20, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,810,328 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,647,093 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,163,235 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,606,226 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$442,991 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $64,288 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$378,703 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$378,703 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 65,162 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 489 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 133.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1180977, 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 October 19, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,009,696 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,391,976 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,617,720 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,268,511 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $349,209 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $211,203 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $560,412 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $560,412 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 69,348 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 723 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 95.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144825, 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 September 22, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,732,570 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,100,520 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,632,050 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,705,583 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,073,533 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,183 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,024,350 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,024,350 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 63,520 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 415 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 153.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1110032, 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 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,774,171 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,842,912 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,931,259 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,560,147 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$628,888 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,006 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$610,882 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$610,882 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 63,023 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 301 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 209.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081165, 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 June 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,800,201 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,958,224 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,841,977 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,326,609 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$484,632 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $84,550 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$400,082 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$400,082 (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 | 222 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,806 | 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 | 38.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 190.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1036230, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 2, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,645,762 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,028,763 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$383,001 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $164,942 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$218,059 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,297 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 406 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 170.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428509, 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, reopened, processed by CMS on September 28, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,934,588 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,134,520 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$199,932 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $219,472 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $19,540 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 73,216 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 505 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 144.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432680, 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 June 18, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,142,007 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,207,163 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$65,156 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $167,303 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $102,147 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 76,892 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 457 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 168.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 375949, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 30, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,112,766 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,970,134 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $142,632 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$26,149 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $116,483 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 77,877 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 440 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 176.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 338208, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,341,420 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,377,924 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$36,504 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$14,480 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$50,984 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 76,589 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 442 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 173.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 307392, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 27, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,024,481 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,877,458 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,147,023 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,244 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,153,267 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 78,563 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 422 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 186.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 267161, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 20, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,151,478 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,819,361 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $332,117 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $84,141 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $416,258 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 74,314 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 461 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 161.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 245564, 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 March 24, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,114,062 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,434,081 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$320,019 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $248,710 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$71,309 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,493 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 538 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 129.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 212285, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on August 6, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,783,604 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,831,891 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$48,287 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $264,696 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $216,409 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,595 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 556 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 128.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 291064, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,329,114 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,802,238 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $526,876 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $351,122 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $877,998 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 75,538 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 388 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 194.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 193113, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on June 22, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,578,379 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,621,676 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$43,297 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $332,609 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $289,312 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 76,870 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 423 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.01 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 181.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74731, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on August 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,826,326 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,605,958 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $220,368 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $454,395 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $674,763 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 77,186 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 418 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 184.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 7121, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 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 | $10,707,578 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,587,017 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $120,561 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $549,292 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $669,853 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 78,710 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 376 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 209.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 7120, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on December 16, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,730,934 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,184,793 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$453,859 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $972,973 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $519,114 (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 | 222 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 79,526 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 310 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 256.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 7119, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| PC MSTR LSCO, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2017 |
| COLUMBIA MGT CO., LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/26/2025 |
| ELEBIARY, AHMED | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2023 |
| WALTON, DEAULO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/31/2025 |
| ROMEO, DOMINIC | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2023 |
| WILHEIM, RONALD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2017 |
| ODENTHAL, RICHARD | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| STOLTZ, CHARLES | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2017 |
| COLUMBIA MGT CO., LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2020 |
| ELEBIARY, AHMED | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2023 |
| GROVES, DONNA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/14/2023 |
| ROMEO, DOMINIC | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2023 |
| STOLTZ, CHARLES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2017 |
| WALTON, DEAULO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/31/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of COLUMBIA LEASING CO LLC (enrollment ID O20170607001710).
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 |
|---|---|---|---|---|---|
| PC MSTR LSCO, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| C.R. STOLTZ FAMILY INVESTMENT COMPANY INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6.52 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| C.R. STOLTZ IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6.52 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| I. ROSEDALE FAMILY INVESTMENT COMPANY INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| I. ROSEDALE IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| R.S. WILHEIM IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15.89 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD S WILHEIM 2012 SPOUSAL TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15.27 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROSEDALE FAMILY INVESTMENT COMPANY, INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| RRW, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 93.48 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| S.L. ROSEDALE IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| SKILLED HC HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 93.48 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILHEIM FAMILY INVESTMENT COMPANY, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| AHMED MAHMOUD ELEBIARY | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COLUMBIA MGT CO., LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/26/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DEAULO WALTON | Individual | ADP OF THE SNF | Not stated in the filing | 3/31/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 6/26/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DOMINIC A ROMEO | Individual | CORPORATE OFFICER | Not stated in the filing | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RONALD WILHEIM | Individual | CORPORATE OFFICER | Not stated in the filing | 5/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES STOLTZ | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AHMED MAHMOUD ELEBIARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES STOLTZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COLUMBIA MGT CO., LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| DEAULO WALTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/31/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOMINIC A ROMEO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONNA GROVES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/14/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 1, 2025: CHARLES STOLTZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HEALTH CARE FACILITY MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: RICHARD ODENTHAL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: C.R. STOLTZ, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JENNIFER LYNN ALLEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHARLES STOLTZ (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHARLES STOLTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AHMED MAHMOUD ELEBIARY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AHMED MAHMOUD ELEBIARY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: I. ROSEDALE FAMILY INVESTMENT COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DONNA GROVES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DEAULO WALTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DEAULO WALTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DOMINIC A ROMEO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DOMINIC A ROMEO (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: C.R. STOLTZ FAMILY INVESTMENT COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: RONALD WILHEIM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: COLUMBIA MGT CO., LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: COLUMBIA MGT CO., LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Recent changes on this record
- November 1, 2025: CHARLES STOLTZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HEALTH CARE FACILITY MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: RICHARD ODENTHAL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: C.R. STOLTZ, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JENNIFER LYNN ALLEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHARLES STOLTZ (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHARLES STOLTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AHMED MAHMOUD ELEBIARY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AHMED MAHMOUD ELEBIARY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: I. ROSEDALE FAMILY INVESTMENT COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DONNA GROVES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DEAULO WALTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DEAULO WALTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DOMINIC A ROMEO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DOMINIC A ROMEO (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: C.R. STOLTZ FAMILY INVESTMENT COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: RONALD WILHEIM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: COLUMBIA MGT CO., LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: COLUMBIA MGT CO., LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- June 25, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 12, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 29, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- November 23, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- March 3, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- February 24, 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- May 6, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- April 17, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- September 17, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 20, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- December 20, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- October 19, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- September 22, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 27, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- June 19, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- September 28, 2012: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- May 2, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- June 18, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- April 30, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- April 24, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | October 9, 2024 | October 9, 2024 | 35 | 3 |
| 2 | March 5, 2021 | March 5, 2021 | 15 | 3 |
| 3 | August 23, 2018 | August 23, 2018 | 11 | 21 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
61 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| October 9, 2024 | 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 | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | 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. | E | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | 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 | November 19, 2024 |
| October 9, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | 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 | November 19, 2024 |
| October 9, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | 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. | E | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | 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 | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 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 | December 16, 2024 |
| October 9, 2024 | 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 | November 19, 2024 |
| October 9, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0712 | Nursing and Physician Services Deficiencies | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | December 16, 2024 |
| October 9, 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | 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 | November 19, 2024 |
| October 9, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0909 | Environmental Deficiencies | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0944 | Administration Deficiencies | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 9, 2024 | Health | F 0949 | Administration Deficiencies | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Yes | Deficient, Provider has date of correction | November 19, 2024 |
| March 5, 2021 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | No | Deficient, Provider has date of correction | July 1, 2021 |
| March 5, 2021 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | July 1, 2021 |
| March 5, 2021 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | March 29, 2021 |
| March 5, 2021 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | No | Deficient, Provider has date of correction | March 29, 2021 |
| March 5, 2021 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | March 29, 2021 |
| March 5, 2021 | 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 | March 29, 2021 |
| March 5, 2021 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | July 1, 2021 |
| March 5, 2021 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | July 1, 2021 |
| March 5, 2021 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | May 4, 2021 |
| March 5, 2021 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | July 1, 2021 |
| March 5, 2021 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | May 4, 2021 |
| March 5, 2021 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | March 29, 2021 |
| March 5, 2021 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | No | Deficient, Provider has date of correction | July 1, 2021 |
| March 5, 2021 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | March 29, 2021 |
| March 5, 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 29, 2021 |
| August 23, 2018 | 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 | September 26, 2018 |
| August 23, 2018 | Health | F 0606 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | No | Deficient, Provider has date of correction | September 26, 2018 |
| August 23, 2018 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | September 26, 2018 |
| August 23, 2018 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | September 26, 2018 |
| August 23, 2018 | 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. | E | No | Deficient, Provider has date of correction | September 26, 2018 |
| August 23, 2018 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | September 26, 2018 |
| August 23, 2018 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | September 26, 2018 |
| August 23, 2018 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | September 26, 2018 |
| August 23, 2018 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | September 26, 2018 |
| August 23, 2018 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | September 26, 2018 |
| August 23, 2018 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | No | Deficient, Provider has date of correction | September 26, 2018 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| October 9, 2024 | Fine | $90,896 | 8263 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | COLUMBIA LEASING CO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1985-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Fairfax |
| Telephone Number | 7032567000 |
| Chain Name | COMMUNICARE HEALTH |
| Chain ID | 153 |
| 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 | 222 |
| Average Number of Residents per Day | 209.1 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| 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.
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The citable document for ANNANDALE HEALTHCARE CENTER
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 Virginia 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 495155.