Skilled nursing facility · CMS certification number 495366
LAKE PRINCE WOODS, INC
SUFFOLK, Virginia · Medicare
Certified beds, as filed in Care Compare: 40
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 21, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,650,048 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $345,392 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,304,656 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,361,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,057,216 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,112,262 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $55,046 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $55,046 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 14,640 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,338 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 6,323 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 9,661 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 83 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 74 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 61.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405677, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,683,845 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $248,795 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,435,050 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,428,487 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$993,437 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,634,691 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $641,254 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $641,254 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,711 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 68.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374024, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,940,457 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $180,781 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,759,676 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,527,942 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,768,266 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,452,876 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$315,390 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$315,390 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,026 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 62.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341652, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 18, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,063,814 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $135,988 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,927,826 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,236,806 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,308,980 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,204,941 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,104,039 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,104,039 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,842 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 113.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310613, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 2, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,259,169 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $309,260 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,949,909 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,288,516 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,338,607 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,972,839 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $634,232 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $634,232 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,274 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 61.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280767, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,043,436 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $622,110 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,421,326 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,819,272 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,397,946 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $989,566 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$408,380 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$408,380 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,017 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 44.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251355, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 4, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,399,223 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $556,682 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,842,541 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,877,634 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,035,093 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,057,154 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $22,061 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $22,061 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,799 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 67.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218949, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 20, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,289,477 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $521,043 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,768,434 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,912,687 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,144,253 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,140,131 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,122 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,122 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,514 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 66.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1184071, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 9, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,949,146 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $496,858 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,452,288 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,142,090 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,689,802 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $861,956 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$827,846 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$827,846 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,551 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 73.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152628, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,855,027 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $558,569 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,296,458 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,964,670 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,668,212 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $903,024 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$765,188 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$765,188 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,097 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 153 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 72.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119304, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 4, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,551,362 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $595,370 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,955,992 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,915,785 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,959,793 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,084,109 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$875,684 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$875,684 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,072 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 70.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1086578, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 5, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,306,684 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $377,258 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,929,426 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,076,810 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,147,384 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $796,220 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$351,164 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$351,164 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,199 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 111 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 100.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056368, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,398,787 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $388,739 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,010,048 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,918,343 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$908,295 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $662,027 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$246,268 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$246,268 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,979 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 143 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 83.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026049, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 2, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,577,887 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,192,163 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,614,276 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $667,172 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$947,104 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,494 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 129 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 89.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 425316, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 28, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,717,070 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,266,356 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,549,286 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $672,160 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$877,126 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,783 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 75.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394660, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 29, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,884,184 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,289,051 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,404,867 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $405,699 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$999,168 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,759 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 72.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368492, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,312,715 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,635,727 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,323,012 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $634,970 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$688,042 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,542 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 87.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 336684, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 13, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,499,020 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,205,747 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,706,727 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $410,956 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,295,771 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,896 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 134.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 304395, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 28, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,031,369 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,503,171 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,471,802 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $372,193 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,099,609 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,621 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 98.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 276057, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,978,803 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,402,768 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,423,965 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $532,050 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$891,915 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,193 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 195 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 67.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264166, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 22, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,535,651 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,031,667 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,496,016 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $542,302 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,953,714 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,116 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 89.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 224619, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for January 14, 2003 to September 30, 2003 — a reporting period of 259 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 11, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,189,807 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,704,426 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,514,619 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $358,006 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$2,156,613 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,053 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 86 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 82.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 176024, read from the public cost report file SNFFY2003.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 |
|---|---|---|---|---|
| EVERYAGE | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 09/13/2019 |
| ABERNETHY, JULIUS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| ALCORN, GREGORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2021 |
| BOLICK, LAWRENCE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2020 |
| BRANCH, ANTHONY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2017 |
| CLAPP, KENNETH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| ERDMAN, CHARLES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| EVERYAGE | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/15/2025 |
| GILLIAM, JEFFREY J | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2020 |
| GRAY, PAUL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2023 |
| HAJIMOMENIAN, AMIR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/11/2018 |
| HORTON, MICHELLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| HOWELL, PARKER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2013 |
| JONES, TAMMY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2023 |
| MADDOX, LAMONT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| MARCH, MILLS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2018 |
| SMITH, SHANE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| SPIVEY, BRANDI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/15/2025 |
| STONE, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| STREET, JODY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2023 |
| SULLIVAN, DIANA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| SYRIA, LEE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2012 |
| THIE, RONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2015 |
| TOBIN, CORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2020 |
| WILEY, MARGARET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2018 |
| WOOD, KATHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| ABERNETHY, JULIUS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2022 |
| ALCORN, GREGORY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2021 |
| BOLICK, LAWRENCE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2020 |
| BRANCH, ANTHONY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2017 |
| CLAPP, KENNETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2025 |
| ERDMAN, CHARLES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| GILLIAM, JEFFREY J | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2020 |
| GRAY, PAUL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2023 |
| HORTON, MICHELLE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2022 |
| HOWELL, PARKER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2013 |
| MADDOX, LAMONT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| MARCH, MILLS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2018 |
| SMITH, SHANE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2022 |
| STONE, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2025 |
| STREET, JODY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2023 |
| SULLIVAN, DIANA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| THIE, RONALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2015 |
| TOBIN, CORY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2020 |
| WILEY, MARGARET | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2018 |
| WOOD, KATHY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| JONES, TAMMY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2023 |
| REIMANN, AIMEE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2013 |
| SYRIA, LEE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2012 |
| EVERYAGE | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/13/2019 |
| SYRIA, LEE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2012 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LAKE PRINCE CENTER, INC. (enrollment ID O20020913000002).
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 |
|---|---|---|---|---|---|
| EVERYAGE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Not stated in the filing | 9/13/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| EVERYAGE | Organization | 5% OR GREATER SECURITY INTEREST | Not stated in the filing | 9/13/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMIR HAJIMOMENIAN | Individual | ADP OF THE SNF | Not stated in the filing | 4/11/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY BRANCH | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRANDI SPIVEY | Individual | ADP OF THE SNF | Not stated in the filing | 12/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES W ERDMAN | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CORY SCOTT TOBIN | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANA R SULLIVAN | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EVERYAGE | Organization | ADP OF THE SNF | Not stated in the filing | 12/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GREGORY ALCORN | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY J GILLIAM | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JODY STREET | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIUS W ABERNETHY | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHY WOOD | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KENNETH WAYNE CLAPP | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAMONT D MADDOX | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAWRENCE RAY BOLICK | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEE B SYRIA | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET N WILEY | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELLE HORTON | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MILLS HUNTER MARCH | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PARKER DAUGHTRY HOWELL | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL ALLEN GRAY | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RONALD BRADLEY THIE | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHANE SMITH | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN STONE | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TAMMY JONES | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY BRANCH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES W ERDMAN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CORY SCOTT TOBIN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANA R SULLIVAN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY ALCORN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY J GILLIAM | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JODY STREET | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIUS W ABERNETHY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHY WOOD | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KENNETH WAYNE CLAPP | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAMONT D MADDOX | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAWRENCE RAY BOLICK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET N WILEY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELLE HORTON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MILLS HUNTER MARCH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PARKER DAUGHTRY HOWELL | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL ALLEN GRAY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RONALD BRADLEY THIE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHANE SMITH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN STONE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AIMEE N REIMANN | Individual | CORPORATE OFFICER | Not stated in the filing | 6/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEE B SYRIA | Individual | CORPORATE OFFICER | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TAMMY JONES | Individual | CORPORATE OFFICER | Not stated in the filing | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EVERYAGE | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/13/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEE B SYRIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2026: JUDITH O RAYMOND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JUDITH O RAYMOND no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AMIR HAJIMOMENIAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CORY SCOTT TOBIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LEE B SYRIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LEE B SYRIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MILLS HUNTER MARCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CHARLES W ERDMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: EVERYAGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: EVERYAGE (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 13, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: EVERYAGE (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 13, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: RONALD BRADLEY THIE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JODY STREET (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JULIUS W ABERNETHY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHANE SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LAWRENCE RAY BOLICK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BRANDI SPIVEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SUSAN STONE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SUSAN STONE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PARKER DAUGHTRY HOWELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MARGARET N WILEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DIANA R SULLIVAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PAUL ALLEN GRAY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KENNETH WAYNE CLAPP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KENNETH WAYNE CLAPP (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KATHY WOOD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MICHELLE HORTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GREGORY ALCORN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ANTHONY BRANCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LAMONT D MADDOX (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TAMMY JONES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JEFFREY J GILLIAM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- November 1, 2025: SARAH ABERNETHY 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: SARAH ABERNETHY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JUDITH O RAYMOND 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: LINDA MORRIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TERRI FISHER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AMIR HAJIMOMENIAN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KATHY WOOD (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JUDITH O RAYMOND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JUDITH O RAYMOND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHARLES W ERDMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AMIR HAJIMOMENIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AMIR HAJIMOMENIAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DIANA R SULLIVAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LAMONT D MADDOX (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- May 1, 2024: AMIR HAJIMOMENIAN (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- March 1, 2024: RAMONA HUFFMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: RANDALL LEE ORWIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: WALTER F HOFFMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: NAOMI YOUNG EAST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LEE B SYRIA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LEE B SYRIA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: GARY W SHULL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: GARY W SHULL no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: EDWARD BEARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: STEPHEN TIMOTHY PATERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: STEPHEN TIMOTHY PATERSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: RAYMOND EUGENE HAMILTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: BRENDA CLINE ECKARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: KATHY WOOD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JAMES WOFFORD BUCHANAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JAMES RAY DEAL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: KELSEY DANIEL MCCLEAVE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SARAH ABERNETHY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SARAH ABERNETHY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JUDITH O RAYMOND (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since September 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LEE B SYRIA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TERRI FISHER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since October 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: AIMEE N REIMANN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since June 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JODY STREET (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JULIUS W ABERNETHY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SHANE SMITH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LAWRENCE RAY BOLICK (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: PAUL ALLEN GRAY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: MICHELLE HORTON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TAMMY JONES (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JEFFREY J GILLIAM (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
Recent changes on this record
- March 1, 2026: JUDITH O RAYMOND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JUDITH O RAYMOND no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AMIR HAJIMOMENIAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CORY SCOTT TOBIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LEE B SYRIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LEE B SYRIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MILLS HUNTER MARCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CHARLES W ERDMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: EVERYAGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: EVERYAGE (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 13, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: EVERYAGE (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 13, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: RONALD BRADLEY THIE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JODY STREET (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JULIUS W ABERNETHY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHANE SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LAWRENCE RAY BOLICK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BRANDI SPIVEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SUSAN STONE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SUSAN STONE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PARKER DAUGHTRY HOWELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MARGARET N WILEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DIANA R SULLIVAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PAUL ALLEN GRAY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KENNETH WAYNE CLAPP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KENNETH WAYNE CLAPP (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KATHY WOOD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MICHELLE HORTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GREGORY ALCORN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ANTHONY BRANCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LAMONT D MADDOX (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TAMMY JONES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JEFFREY J GILLIAM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- November 1, 2025: SARAH ABERNETHY 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: SARAH ABERNETHY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JUDITH O RAYMOND 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: LINDA MORRIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TERRI FISHER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AMIR HAJIMOMENIAN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KATHY WOOD (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JUDITH O RAYMOND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | November 26, 2025 | November 26, 2025 | 3 | 0 |
| 2 | February 3, 2022 | February 3, 2022 | 2 | 2 |
| 3 | August 29, 2019 | August 29, 2019 | 1 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
6 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| November 26, 2025 | 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 | December 18, 2025 |
| November 26, 2025 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | No | Deficient, Provider has date of correction | December 18, 2025 |
| November 26, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 18, 2025 |
| February 3, 2022 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | February 16, 2022 |
| February 3, 2022 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | February 16, 2022 |
| August 29, 2019 | 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 | August 30, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | LAKE PRINCE CENTER, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 2003-01-14 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Suffolk City |
| Telephone Number | 7579235500 |
| Chain Name | EVERYAGE SENIOR LIVING |
| Chain ID | 675 |
| 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 | 40 |
| Average Number of Residents per Day | 29.6 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on LAKE PRINCE WOODS, INC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On March 1, 2026: JUDITH O RAYMOND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for LAKE PRINCE WOODS, INC
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 495366.