Velarion Records

Skilled nursing facility · CMS certification number 505282

EAST ADAMS CARE CENTER LLC

RITZVILLE, Washington

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026.

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

Finances, as filed

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

Cost report for January 1, 2017 to February 14, 2017 — a reporting period of 44 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 22, 2017.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$97,169CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$24,641CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$72,528CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$211,578CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$139,050CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$139,050CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$139,050 (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
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components2,250CMS-2540-10 worksheet S300001 line 800 column 200
Medicaid (Title XIX) patient days231CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days108CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components339CMS-2540-10 worksheet S300001 line 800 column 700
Medicaid discharges5CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges1CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components6CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days46.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days56.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1176325, 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 August 29, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$1,656,824CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$366,628CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,290,196CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,309,615CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,019,419CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,523CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,011,896CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,011,896 (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
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components5,740CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components26CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days240.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days220.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175256, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended April 30, 2015

Cost report for October 1, 2014 to April 30, 2015 — a reporting period of 211 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 17, 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$1,654,833CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$415,923CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,238,910CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,856,819CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$617,909CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,219CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$615,690CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$615,690 (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
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components5,362CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components28CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days325.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days191.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1151303, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended September 30, 2014

Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$3,146,432CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$864,253CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,282,179CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,512,330CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$230,151CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,299CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$223,852CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$223,852 (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
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,755CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components42CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days483.47CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days256.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1122029, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended September 30, 2013

Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 3, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$3,671,952CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$825,129CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,846,823CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,994,551CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$147,728CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$16,325CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$131,403CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$131,403 (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
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,049CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components67CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days550.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days194.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1086566, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended September 30, 2012

Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 5, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$3,815,273CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$714,995CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,100,278CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,817,617CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$282,661CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$24,673CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$307,334CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $307,334 (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
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,819CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components83CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.71CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days500.53CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days154.45CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1051662, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended September 30, 2011

Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 26, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$2,392,343CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,443,887CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$51,544CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,783CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$47,761 (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 2011
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,518CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components77CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days56.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days406.73CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days136.6CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434359, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended September 30, 2010

Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 8, 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$2,300,363CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,238,987CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$61,376CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,178CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $67,554 (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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,538CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components69CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days58.79CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days351.13CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days152.72CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424487, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended September 30, 2009

Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 19, 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$2,606,361CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,336,971CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$269,390CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,062CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $276,452 (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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,135CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components84CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.27CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days230.44CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days120.65CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415938, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended September 30, 2008

Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 28, 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$2,320,439CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,360,707CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$40,268CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$14,331CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$25,937 (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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,474CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components83CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days349.64CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days126.19CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 368424, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended September 30, 2007

Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 2, 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$2,056,091CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,185,349CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$129,258CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,170CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$122,088 (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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components9,831CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components70CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.12CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days376.69CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days140.44CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 333000, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended September 30, 2006

Cost report for January 1, 2006 to September 30, 2006 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$1,645,442CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,644,435CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$1,007CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,462CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $6,469 (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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components8,402CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components58CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.18CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days658.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days144.86CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 300975, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended December 31, 2005

Cost report for October 1, 2005 to December 31, 2005 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 4, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$470,267CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$538,767CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$68,500CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,458CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$67,042 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components2,526CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components15CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days572CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days168.4CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 280720, read from the public cost report file SNFFY2006.zip.

Fiscal year 2004, ended September 30, 2004

Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 15, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$2,182,051CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,345,914CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$163,863CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$17,957CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$145,906 (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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,829CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components96CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days545.7CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days112.8CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 233136, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended September 30, 2003

Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,111,275CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,198,072CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$86,797CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,785CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$78,012 (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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,101CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components99CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.31CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days322.21CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days122.23CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 212971, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended September 30, 2002

Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 8, 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$2,118,466CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,097,026CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$21,440CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,454CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $27,894 (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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components11,752CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components110CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.84CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days399.13CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days106.84CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 152469, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended September 30, 2001

Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$2,058,732CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,949,264CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$109,468CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,158CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $116,626 (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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components11,822CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components130CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.41CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days196.03CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days90.94CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 140648, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended September 30, 2000

Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$1,617,758CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,705,073CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$87,315CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,614CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$80,701 (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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,581CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components80CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days48.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days550.4CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days132.26CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 124302, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended September 30, 1999

Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 13, 2007.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$1,459,309CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,587,136CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$127,827CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,168CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$121,659 (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
FigureAs filedWhere it comes from
Total facility beds, all components39CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components9,845CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components78CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days255CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days126.22CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 274752, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended September 30, 1998

Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on February 20, 2007.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$1,392,586CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,557,029CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$164,443CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,093CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$156,350 (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
FigureAs filedWhere it comes from
Total facility beds, all components44CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,679CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components43CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.52CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days358.18CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days248.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 272796, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended September 30, 1997

Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 24, 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$1,494,750CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,664,141CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$169,391CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,979CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$162,412 (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
FigureAs filedWhere it comes from
Total facility beds, all components46CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,784CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components60CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.89CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days431.38CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days179.73CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 62894, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended September 30, 1996

Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on April 21, 1997.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$1,452,208CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,548,648CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$96,440CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,480CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$6,795CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$86,165 (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
FigureAs filedWhere it comes from
Total facility beds, all components46CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,792CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components52CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days48.94CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days489.64CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days246CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 62893, 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

Not listed in CMS’s Care Compare data.

Medicare enrollment

No owner listed for this facility in CMS’s Medicare enrollment ownership data.

Changes in ownership

No change in ownership appears in CMS’s ownership data for this facility.

Recent changes on this record

  • September 22, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • August 29, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • January 17, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • August 29, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • April 20, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • March 3, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • December 5, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • March 26, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
  • February 8, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • August 19, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • April 28, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • February 2, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • January 24, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • June 4, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2006.zip
  • March 13, 2007: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
  • February 20, 2007: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
  • October 19, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
  • September 15, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
  • April 14, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
  • July 8, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
  • April 7, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
  • February 12, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
  • June 24, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
  • April 21, 1997: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip

Inspections

Not listed in CMS’s Care Compare data.

Deficiencies cited

Not listed in CMS’s Care Compare data.

Penalties

Not listed in CMS’s Care Compare data.

Care Compare provider information

Not listed in CMS’s Care Compare data.

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