Skilled nursing facility · CMS certification number 505182

PROVIDENCE MOUNT ST VINCENT

SEATTLE, Washington · Medicare and Medicaid

Certified beds, as filed in Care Compare: 215

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: 3 · Fines: 3 · Fines, total amount: $129,568.00 · Payment denials: 0. The most recent penalty on file: June 10, 2025, Fine, $42,114. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$49,440,232	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,605,153	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$40,835,079	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$49,345,430	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$8,510,351	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,386,650	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$6,123,701	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$6,123,701 (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%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	335	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	122,610	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	4,716	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	27,037	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	73,000	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	104,753	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	169	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	70	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	513	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	752	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	386.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	139.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435710, 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 September 19, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$40,349,178	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,098,960	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$32,250,218	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$42,982,177	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$10,731,959	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,083,594	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$6,648,365	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$6,648,365 (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%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	335	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	97,399	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	468	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	574.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	208.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395285, 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 August 25, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$36,988,757	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,829,598	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$30,159,159	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$35,408,215	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$5,249,056	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,965,767	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$3,283,289	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,283,289 (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%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	335	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	92,890	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	525	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	401.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	176.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1363279, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$35,935,199	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,763,038	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$29,172,161	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$37,375,628	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$8,203,467	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,268,750	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,934,717	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,934,717 (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%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	335	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	92,174	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	603	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	408.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	152.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332593, 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 November 12, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$35,919,616	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,453,004	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$28,466,612	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$38,701,739	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$10,235,127	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,444,073	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$4,791,054	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,791,054 (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%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	335	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	90,669	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	644	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	290.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	140.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304417, 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 17, 2022.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$44,608,593	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$10,135,025	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$34,473,568	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$40,453,690	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$5,980,122	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,187,355	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,792,767	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,792,767 (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%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	335	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	110,766	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,029	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	394.84	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	107.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1310569, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$44,081,362	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$10,331,585	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$33,749,777	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$43,611,172	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$9,861,395	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,299,322	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$5,562,073	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,562,073 (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%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	335	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	102,165	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,159	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	247.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	88.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1260363, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 6, 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$42,060,438	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$9,404,213	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$32,656,225	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$38,633,953	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$5,977,728	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,028,744	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,948,984	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,948,984 (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%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	335	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	101,469	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,229	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	275.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	82.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1223821, 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 28, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$40,629,113	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,984,803	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$31,644,310	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$39,958,414	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$8,314,104	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,535,781	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$4,778,323	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,778,323 (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%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	335	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	109,870	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,209	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	17.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	246.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	90.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171049, 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 July 26, 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$40,163,856	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,599,003	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$31,564,853	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$38,433,567	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$6,868,714	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,630,845	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$3,237,869	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,237,869 (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%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	335	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	113,191	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,009	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	527.49	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	112.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170714, 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.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$39,233,914	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,732,155	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$30,501,759	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$37,646,092	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$7,144,333	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,315,386	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$3,828,947	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,828,947 (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%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	335	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	111,917	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,209	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	313.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	92.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1144797, 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 May 15, 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$36,597,982	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,423,909	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$29,174,073	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$33,071,245	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$3,897,172	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,437,761	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$459,411	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$459,411 (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%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	335	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	113,013	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	999	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	338.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1090652, 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 April 24, 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$34,572,914	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,357,004	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$27,215,910	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$31,665,547	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$4,449,637	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,243,628	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,206,009	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,206,009 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	327	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	109,999	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	616	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,317.07	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	178.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1058864, 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 September 29, 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$34,622,236	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,143,330	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$27,478,906	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$29,739,735	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,260,829	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,250,410	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$989,581	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $989,581 (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%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	327	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	112,344	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	811	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	204.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	138.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1048795, 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 August 19, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$27,015,232	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$30,033,758	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$3,018,526	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,151,137	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $132,611 (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.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	327	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	117,375	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	854	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	19.04	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	207.22	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	137.44	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415849, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 30, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$24,717,085	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$29,736,705	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$5,019,620	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,257,148	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $237,528 (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.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	327	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	117,175	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	478	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	18.75	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	812.02	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	245.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 386983, 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 July 30, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$23,701,628	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$28,059,390	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$4,357,762	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,229,788	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $872,026 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	327	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	116,846	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	496	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	19.07	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	984.95	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	235.58	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 353300, 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 August 29, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$26,214,857	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$27,264,059	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,049,202	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,417,196	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $2,367,994 (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.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	327	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	117,592	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	594	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	13.58	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	437.46	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	197.97	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 325277, 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 May 14, 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$23,608,915	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$25,014,307	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,405,392	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,076,918	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $1,671,525 (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.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	343	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	117,262	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	525	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	15.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	775.94	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	223.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 308852, 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 February 1, 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$22,831,539	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$23,230,173	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$398,634	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,169,878	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,771,244 (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.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	331	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	117,030	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	421	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	18.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,067.55	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	277.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 271579, 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 February 1, 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$22,357,584	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$23,269,109	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$911,525	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,262,670	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,351,145 (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.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	327	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	113,411	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	935	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	15.18	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	264.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	121.3	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 241981, 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 August 18, 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$20,948,367	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$21,774,614	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$826,247	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$658,764	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$835,280	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$1,002,763 (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.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	327	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	123,694	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	779	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	15.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	308.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	158.79	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 231029, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended December 31, 2002

Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$20,035,988	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$20,321,578	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$285,590	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,205,567	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $919,977 (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.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	234	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	73,760	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	488	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	15.27	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	592.39	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	151.15	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 174558, 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 October 1, 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$13,341,005	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$19,603,837	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$6,262,832	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,755,125	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $492,293 (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.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	234	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	73,757	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	394	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	18.72	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	627.44	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	187.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 161309, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended December 31, 2000

Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 11, 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$13,126,032	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$18,262,087	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$5,136,055	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,437,657	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,301,602 (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.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	234	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	74,315	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	421	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	18.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	537.44	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	176.52	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 67382, 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, settled, processed by CMS on May 30, 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$12,779,605	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$17,497,226	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$4,717,621	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,908,620	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,190,999 (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.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	234	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	73,464	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	482	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	19.24	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	472.49	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	152.41	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 67380, 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, settled, processed by CMS on October 17, 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$17,643,622	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$17,232,131	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$411,491	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$430,246	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $841,737 (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.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	234	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	84,440	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	466	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.19	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	521.52	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	181.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 67378, 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, reopened, processed by CMS on March 27, 2001.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$15,848,089	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$16,351,016	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$502,927	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,104,593	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $601,666 (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.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	215	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	70,735	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	560	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	19.79	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	492.34	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	126.31	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 67375, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended December 31, 1996

Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on December 3, 1999.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$13,361,813	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$14,897,584	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,535,771	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,638,875	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $103,104 (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.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	215	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	65,497	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	21.32	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	658.44	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	155.21	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 67373, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

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
ANDERSON, DONALD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2017
ELMOUCHI, DARRYL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2025
GONZALES - LIM, MARICOR	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/11/2023
HOFFMAN, GREGORY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2020
MARTIN, JAMES	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/13/2023
NESTERENKO, OKSANA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/06/2024
NEWSOM, ANNA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/13/2022
PROVIDENCE HEALTH & SERVICES - WASHINGTON	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/31/1999
PROVIDENCE ST. JOSEPH HEALTH	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/06/2025
SIKES, NICOLE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/22/2022
WARREN, TERRI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2022
BLAIR, RICHARD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 07/01/2016
BUCK, LINDA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
CRAWFORD, ISIAAH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/01/2012
DUFAULT, KARIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
HEJNA, DIANE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 07/01/2016
HUGHES, PHYLLIS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2014
KINGSTON, MARY BETH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/01/2022
LYONS, MARY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 07/01/2016
MARKHAM, DONNA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2024
MURPHY, MICHAEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2021
O'QUINN, MARVIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2024
RIOJAS, ROGELIO	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
SORENSON, CHARLES	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2019
SPRUNK, ERIC	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2022
ANDERSON, DONALD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2017
ELMOUCHI, DARRYL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2025
HOFFMAN, GREGORY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2020
MARTIN, JAMES	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/13/2023
NEWSOM, ANNA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/13/2022
PROVIDENCE HEALTH & SERVICES - WASHINGTON	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/15/2009
PROVIDENCE ST. JOSEPH HEALTH	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 07/01/2016
ANDERSON, DONALD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2017
BLAIR, RICHARD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2016
BUCK, LINDA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025
CRAWFORD, ISIAAH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2012
DUFAULT, KARIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025
ELMOUCHI, DARRYL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2025
GONZALES - LIM, MARICOR	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/11/2023
HEJNA, DIANE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2016
HOFFMAN, GREGORY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2020
HUGHES, PHYLLIS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2014
KINGSTON, MARY BETH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/01/2022
LYONS, MARY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2016
MARKHAM, DONNA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2024
MARTIN, JAMES	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/13/2023
MURPHY, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2021
NESTERENKO, OKSANA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/06/2024
NEWSOM, ANNA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/13/2022
O'QUINN, MARVIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2024
PROVIDENCE HEALTH & SERVICES - WASHINGTON	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/15/2009
PROVIDENCE ST. JOSEPH HEALTH	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/15/2009
RIOJAS, ROGELIO	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025
SIKES, NICOLE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/22/2022
SORENSON, CHARLES	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2019
SPRUNK, ERIC	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2022
WARREN, TERRI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2022

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PROVIDENCE HEALTH & SERVICES WASHINGTON (enrollment ID O20100116000438).

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
PROVIDENCE HEALTH & SERVICES - WASHINGTON	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	10/15/2009	Private equity company: No Real estate investment trust: No Holding company: No
ANNA R NEWSOM	Individual	ADP OF THE SNF	Not stated in the filing	5/13/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DARRYL ELMOUCHI	Individual	ADP OF THE SNF	Not stated in the filing	4/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DONALD WAYNE ANDERSON	Individual	ADP OF THE SNF	Not stated in the filing	1/1/2017	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
GREGORY DAVID HOFFMAN	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
JAMES MARTIN	Individual	ADP OF THE SNF	Not stated in the filing	1/13/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARICOR B GONZALES - LIM	Individual	ADP OF THE SNF	Not stated in the filing	9/11/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
NICOLE SIKES	Individual	ADP OF THE SNF	Not stated in the filing	8/22/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
OKSANA NESTERENKO	Individual	ADP OF THE SNF	Not stated in the filing	8/6/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PROVIDENCE HEALTH & SERVICES - WASHINGTON	Organization	ADP OF THE SNF	Not stated in the filing	12/31/2099	Private equity company: No Real estate investment trust: No Holding company: No
PROVIDENCE ST. JOSEPH HEALTH	Organization	ADP OF THE SNF	Not stated in the filing	6/6/2025	Private equity company: No Real estate investment trust: No Holding company: No
TERRI P WARREN	Individual	ADP OF THE SNF	Not stated in the filing	11/1/2022	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	6/6/2025	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	6/6/2025	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	6/6/2025	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	6/6/2025	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	6/6/2025	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	6/6/2025	Private equity company: No Real estate investment trust: No Holding company: No
CHARLES WALLACE SORENSON	Individual	CORPORATE DIRECTOR	0	1/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DIANE L HEJNA	Individual	CORPORATE DIRECTOR	0	7/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DONNA MARKHAM	Individual	CORPORATE DIRECTOR	0	1/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ERIC D SPRUNK	Individual	CORPORATE DIRECTOR	0	1/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ISIAAH D CRAWFORD	Individual	CORPORATE DIRECTOR	0	2/1/2012	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
KARIN DUFAULT	Individual	CORPORATE DIRECTOR	0	1/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LINDA BUCK	Individual	CORPORATE DIRECTOR	0	1/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARVIN O'QUINN	Individual	CORPORATE DIRECTOR	0	1/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARY BETH KINGSTON	Individual	CORPORATE DIRECTOR	0	9/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARY E LYONS	Individual	CORPORATE DIRECTOR	0	7/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MICHAEL W MURPHY	Individual	CORPORATE DIRECTOR	0	1/1/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PHYLLIS M HUGHES	Individual	CORPORATE DIRECTOR	0	1/1/2014	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
RICHARD S BLAIR	Individual	CORPORATE DIRECTOR	0	7/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ROGELIO RIOJAS	Individual	CORPORATE DIRECTOR	0	1/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ANNA R NEWSOM	Individual	CORPORATE OFFICER	0	5/13/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DARRYL ELMOUCHI	Individual	CORPORATE OFFICER	0	4/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DONALD WAYNE ANDERSON	Individual	CORPORATE OFFICER	0	1/1/2017	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
GREGORY DAVID HOFFMAN	Individual	CORPORATE OFFICER	0	10/1/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JAMES MARTIN	Individual	CORPORATE OFFICER	0	1/13/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PROVIDENCE HEALTH & SERVICES - WASHINGTON	Organization	DIRECT OWNERSHIP INTEREST	100	10/15/2009	Private equity company: No Real estate investment trust: No Holding company: No
PROVIDENCE ST. JOSEPH HEALTH	Organization	INDIRECT OWNERSHIP INTEREST	0	7/1/2016	Private equity company: No Real estate investment trust: No Holding company: No
No owner named in the filing	Organization	INDIRECT OWNERSHIP INTEREST	0	7/1/2016	Private equity company: No Real estate investment trust: No Holding company: No
ANNA R NEWSOM	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	5/13/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CHARLES WALLACE SORENSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DARRYL ELMOUCHI	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	4/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DIANE L HEJNA	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	7/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DONALD WAYNE ANDERSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/1/2017	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DONNA MARKHAM	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ERIC D SPRUNK	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
GREGORY DAVID HOFFMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	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
ISIAAH D CRAWFORD	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	2/1/2012	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JAMES MARTIN	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/13/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
KARIN DUFAULT	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LINDA BUCK	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARICOR B GONZALES - LIM	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	9/11/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARVIN O'QUINN	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARY BETH KINGSTON	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	9/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARY E LYONS	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	7/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MICHAEL W MURPHY	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/1/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
NICOLE SIKES	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/22/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
OKSANA NESTERENKO	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/6/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PHYLLIS M HUGHES	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/1/2014	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PROVIDENCE HEALTH & SERVICES - WASHINGTON	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	10/15/2009	Private equity company: No Real estate investment trust: No Holding company: No
PROVIDENCE ST. JOSEPH HEALTH	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	10/15/2009	Private equity company: No Real estate investment trust: No Holding company: No
RICHARD S BLAIR	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	7/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ROGELIO RIOJAS	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
TERRI P WARREN	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	11/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MARICOR B GONZALES - LIM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ARASH MIRZAIE AMIRABADI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: PROVIDENCE HEALTH & SERVICES no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MALISA J WESTLUND no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NICOLE SIKES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ERIK WEXLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CAROL ELIZABETH PACINI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: TERRI P WARREN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 15, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: KARIN DUFAULT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: KARIN DUFAULT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DARRYL ELMOUCHI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DARRYL ELMOUCHI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DARRYL ELMOUCHI (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ANNA R NEWSOM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ANNA R NEWSOM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MARICOR B GONZALES - LIM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MARICOR B GONZALES - LIM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ERIC D SPRUNK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MARY BETH KINGSTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MICHAEL W MURPHY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DONNA MARKHAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ISIAAH D CRAWFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: GREGORY DAVID HOFFMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: GREGORY DAVID HOFFMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MARVIN O'QUINN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DONALD WAYNE ANDERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DONALD WAYNE ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CHARLES WALLACE SORENSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JAMES MARTIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JAMES MARTIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ROGELIO RIOJAS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ROGELIO RIOJAS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: PHYLLIS M HUGHES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NICOLE SIKES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NICOLE SIKES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: RICHARD S BLAIR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MARY E LYONS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: OKSANA NESTERENKO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 6, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: OKSANA NESTERENKO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 6, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DIANE L HEJNA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: PROVIDENCE HEALTH & SERVICES - WASHINGTON (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 15, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: PROVIDENCE HEALTH & SERVICES - WASHINGTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: TERRI P WARREN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: TERRI P WARREN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LINDA BUCK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LINDA BUCK (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
May 1, 2024: MARICOR B GONZALES - LIM (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since September 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
May 1, 2024: ARASH MIRZAIE AMIRABADI (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since August 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
May 1, 2024: DONNA J MARKHAM (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
May 1, 2024: MARVIN R O'QUINN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
April 14, 2023: JOHN WHIPPLE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
April 14, 2023: JO ANN ESCASA-HAIGH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
April 14, 2023: ROBERT HELLRIGEL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
April 14, 2023: ANNA R NEWSOM (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
April 14, 2023: ERIC D SPRUNK (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
April 14, 2023: MARY BETH KINGSTON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
April 14, 2023: JAMES MARTIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
April 14, 2023: ERIK GOLDSCHMIDT WEXLER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
April 14, 2023: TERRI P WARREN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
February 15, 2023: CHRISTINA L MIELE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
February 15, 2023: NICOLE A SIKES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv

Recent changes on this record

July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MARICOR B GONZALES - LIM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ARASH MIRZAIE AMIRABADI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: PROVIDENCE HEALTH & SERVICES no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MALISA J WESTLUND no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NICOLE SIKES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ERIK WEXLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CAROL ELIZABETH PACINI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: TERRI P WARREN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 15, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: KARIN DUFAULT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: KARIN DUFAULT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DARRYL ELMOUCHI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DARRYL ELMOUCHI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DARRYL ELMOUCHI (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ANNA R NEWSOM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ANNA R NEWSOM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MARICOR B GONZALES - LIM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MARICOR B GONZALES - LIM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ERIC D SPRUNK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MARY BETH KINGSTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MICHAEL W MURPHY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DONNA MARKHAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ISIAAH D CRAWFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: GREGORY DAVID HOFFMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: GREGORY DAVID HOFFMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: MARVIN O'QUINN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DONALD WAYNE ANDERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DONALD WAYNE ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CHARLES WALLACE SORENSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JAMES MARTIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JAMES MARTIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ROGELIO RIOJAS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ROGELIO RIOJAS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: PHYLLIS M HUGHES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NICOLE SIKES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NICOLE SIKES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: RICHARD S BLAIR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	April 13, 2026	April 13, 2026	17	11
2	January 10, 2025	January 10, 2025	31	4
3	October 27, 2023	October 27, 2023	17	14

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

65 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
April 13, 2026	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	May 15, 2026
April 13, 2026	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	May 15, 2026
April 13, 2026	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	No	Deficient, Provider has date of correction	May 15, 2026
April 13, 2026	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	May 15, 2026
April 13, 2026	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	May 15, 2026
April 13, 2026	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	May 15, 2026
April 13, 2026	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	May 15, 2026
April 13, 2026	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	May 15, 2026
April 13, 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	May 15, 2026
April 13, 2026	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.	E	No	Deficient, Provider has date of correction	May 15, 2026
April 13, 2026	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	May 15, 2026
April 13, 2026	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	May 15, 2026
April 13, 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	May 15, 2026
April 13, 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	May 15, 2026
April 13, 2026	Health	F 0825	Quality of Life and Care Deficiencies	Provide or get specialized rehabilitative services as required for a resident.	D	No	Deficient, Provider has date of correction	May 15, 2026
April 13, 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	May 15, 2026
April 13, 2026	Health	F 0947	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	D	No	Deficient, Provider has date of correction	May 15, 2026
August 8, 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	August 28, 2025
June 10, 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	Yes	Deficient, Provider has date of correction	July 18, 2025
June 10, 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Deficient, Provider has date of correction	July 18, 2025
June 10, 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	July 18, 2025
February 7, 2025	Health	F 0626	Resident Rights Deficiencies	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.	G	Yes	Deficient, Provider has date of correction	March 14, 2025
February 7, 2025	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	Yes	Deficient, Provider has date of correction	March 14, 2025
January 10, 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.	E	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	E	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	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.	D	Yes	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	Yes	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	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	February 19, 2025
January 10, 2025	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	February 19, 2025
January 10, 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	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	February 19, 2025
January 10, 2025	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	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	February 19, 2025
January 10, 2025	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.	E	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	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.	E	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	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.	E	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	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	February 19, 2025
January 10, 2025	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	No	Deficient, Provider has date of correction	February 19, 2025
January 10, 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	February 19, 2025
June 4, 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	Yes	Deficient, Provider has date of correction	June 26, 2024
May 14, 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.	G	Yes	Deficient, Provider has date of correction	June 12, 2024
December 28, 2023	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	Yes	Deficient, Provider has date of correction	February 7, 2024
October 27, 2023	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	December 6, 2023
October 27, 2023	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	December 6, 2023
October 27, 2023	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	December 6, 2023
October 27, 2023	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	E	No	Deficient, Provider has date of correction	December 6, 2023
October 27, 2023	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	December 6, 2023
October 27, 2023	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	December 6, 2023
October 27, 2023	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D	No	Deficient, Provider has date of correction	December 6, 2023
October 27, 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	December 6, 2023
October 27, 2023	Health	F 0685	Quality of Life and Care Deficiencies	Assist a resident in gaining access to vision and hearing services.	D	No	Deficient, Provider has date of correction	December 6, 2023
October 27, 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	E	No	Deficient, Provider has date of correction	December 6, 2023
October 27, 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	December 6, 2023
October 27, 2023	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	December 6, 2023
October 27, 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	December 6, 2023
October 27, 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	December 6, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty date	Type	Fine amount	Fine ID
June 10, 2025	Fine	$42,114	138134
January 10, 2025	Fine	$76,615	43687
May 14, 2024	Fine	$10,839	43635

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	Non profit - Corporation
Legal Business Name	PROVIDENCE HEALTH & SERVICES WASHINGTON
Date First Approved to Provide Medicare and Medicaid Services	1968-04-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	King
Telephone Number	2069373700
Chain Name	PROVIDENCE HEALTH & SERVICES
Chain ID	430
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	215
Average Number of Residents per Day	185.4
Overall Rating	3
Health Inspection Rating	2
QM Rating	3
Long-Stay QM Rating	4
Short-Stay QM Rating	3
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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