Skilled nursing facility · CMS certification number 505418
MARIANWOOD HEALTH AND REHABILITATION
ISSAQUAH, Washington · Medicare and Medicaid
Certified beds, as filed in Care Compare: 117
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $64,574.00 · Payment denials: 0. The most recent penalty on file: February 28, 2025, Fine, $31,694. 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, 2025 to April 30, 2025 — a reporting period of 119 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 6, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,084,285 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,192,403 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,891,882 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,397,914 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$506,032 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,368 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$490,664 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$490,664 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 14,040 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 622 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,558 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,585 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 10,765 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 23 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 19 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 135 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 177 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 292.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 60.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445959, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2024, ended December 31, 2024
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 November 14, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,818,804 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,348,782 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,470,022 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,101,676 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,631,654 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $65,453 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,566,201 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,566,201 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,457 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 529 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 281.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442452, 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 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,624,966 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,540,234 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,084,732 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,837,484 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,752,752 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $425,769 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,326,983 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,326,983 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,133 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 378 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 517.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395431, 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 7, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,269,176 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,424,183 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,844,993 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,414,994 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,570,001 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $338,696 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,231,305 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,231,305 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,555 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 316 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 659.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361252, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,568,173 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,379,393 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,188,780 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,393,439 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,204,659 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $481,390 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,723,269 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,723,269 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,358 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 436 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 274.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332602, 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 January 25, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,890,977 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,479,310 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,411,667 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,854,528 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,442,861 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,329,584 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,113,277 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,113,277 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,534 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 493 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 192.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309349, 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 April 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,875,883 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,346,196 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,529,687 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,165,571 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,635,884 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $537,095 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,098,789 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,098,789 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,324 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 658 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 497.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 50.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283005, 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 22, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,988,585 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,365,068 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,623,517 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,720,561 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,097,044 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $425,778 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,671,266 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,671,266 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,918 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 714 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 15,679 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237867, 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 August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,913,974 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,868,929 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,045,045 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,602,444 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,557,399 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $438,893 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,118,506 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,118,506 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,677 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 688 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 318.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207405, 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 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,064,434 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,553,323 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,511,111 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,416,450 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,905,339 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $396,129 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,509,210 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,509,210 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,210 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 738 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 216.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169623, 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 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,620,363 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,791,122 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,829,241 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,524,888 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,695,647 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $428,894 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,266,753 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,266,753 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,574 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 927 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 194.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 36.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137643, 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 July 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,094,449 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,635,940 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,458,509 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,461,854 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,003,345 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $387,761 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,615,584 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,615,584 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,323 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 952 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 286.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 39.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104692, 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 July 30, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,369,522 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,644,567 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,724,955 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,620,151 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,895,196 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $460,781 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,434,415 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,434,415 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,590 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 791 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 300.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074234, 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 August 13, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,325,678 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,372,897 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,952,781 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,042,583 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,089,802 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $367,742 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,722,060 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,722,060 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,382 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 632 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 4,480.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046192, 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 25, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,292,048 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,222,171 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,069,877 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,465,958 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$396,081 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $348,995 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$47,086 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$47,086 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,150 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 698 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 251.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1012050, 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 July 29, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,744,098 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,831,719 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,087,621 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $456,758 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$630,863 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,094 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 643 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 423.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 63.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 413918, 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 3, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,809,316 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,772,469 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $36,847 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $338,546 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $375,393 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,484 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 639 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 814.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 63.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384720, 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 October 22, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,844,761 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,997,884 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$153,123 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $441,967 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $288,844 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,587 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 516 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 863.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 78.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358167, 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 19, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,085,359 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,679,762 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$594,403 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $177,998 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$416,405 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,082 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 801 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 356.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 48.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324425, 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 August 14, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,798,237 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,265,767 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$467,530 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $359,660 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$107,870 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,183 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 788 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 303.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 50.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 291876, 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 September 14, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,774,869 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,875,736 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$100,867 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $211,501 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $110,634 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,254 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 689 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 609 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 58.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 262529, 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 August 11, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,238,733 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,701,811 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$463,078 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $432,900 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$30,178 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,315 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 8.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 196.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 34.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230565, 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 September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,487,533 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,740,918 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$253,385 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $708,420 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $455,035 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,431 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 881 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 6.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 294.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 45.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191730, 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 June 10, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,536,062 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,687,416 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$151,354 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $335,225 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $183,871 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,503 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 364 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 14.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,716.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 221419, 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, as submitted, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,017,993 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,878,916 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $139,077 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $233,850 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,020 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $371,907 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,622 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 517 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 11.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 416.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 78.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 137820, 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 July 8, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,750,299 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,735,423 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$985,124 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $217,911 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $23,246 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$790,459 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,219 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 575 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 330.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 68.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 152986, 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 October 22, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,457,513 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,450,908 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $6,605 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $198,186 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $94,220 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $110,571 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,100 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 399 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 10.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 643.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 92.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 96805, 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 May 7, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,606,524 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,534,747 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $71,777 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,618 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $180,071 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$38,676 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,250 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 348 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 109.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 96803, 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, settled, processed by CMS on September 30, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,920,376 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,788,599 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $131,777 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,798 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $55,682 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $115,893 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,034 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 378 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 103.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 96801, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for February 1, 1996 to December 31, 1996 — a reporting period of 334 days, on form CMS-2540-96, settled, processed by CMS on September 11, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,572,306 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,981,497 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,409,191 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,041 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $32,286 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,392,436 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,916 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 649 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 12.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 52.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 96800, 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.
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 |
|---|---|---|---|---|
| DITTAKAVI, NEELIMA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/27/2025 |
| STOLARCZYK, LISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/12/2024 |
| THE ENSIGN GROUP INC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/12/2024 |
| FARNSWORTH, STEPHEN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/20/2025 |
| BURNAM, SOON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/12/2024 |
| STOLARCZYK, LISA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2025 |
| DITTAKAVI, NEELIMA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2025 |
| STOLARCZYK, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LUNA VEGA HEALTHCARE LLC (enrollment ID O20250822002655).
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 |
|---|---|---|---|---|---|
| LISA STOLARCZYK | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NEELIMA DITTAKAVI | Individual | ADP OF THE SNF | Not stated in the filing | 2/27/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | CORPORATE OFFICER | 0 | 9/12/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE ENSIGN GROUP INC | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 9/12/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| LISA STOLARCZYK | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/12/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA STOLARCZYK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NEELIMA DITTAKAVI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- December 1, 2025: PROVIDENCE ST. JOSEPH HEALTH no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ANNA R NEWSOM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ERIC D SPRUNK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JILL C JONES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARY BETH KINGSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PROVIDENCE HEALTH & SERVICES no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MICHAEL W MURPHY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DONNA MARKHAM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ISIAAH D CRAWFORD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GREGORY DAVID HOFFMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SEAN ARORA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DONALD WAYNE ANDERSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DIANNA REELY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CHARLES WALLACE SORENSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JAMES MARTIN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PHYLLIS M HUGHES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NICOLE SIKES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARY E LYONS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ERIK WEXLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PROVIDENCE HEALTH & SERVICES - WASHINGTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PROVIDENCE HEALTH & SERVICES - WASHINGTON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CAROL ELIZABETH PACINI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: TERRI P WARREN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ROSE M LEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARVIN O'QUINN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: RICHARD S BLAIR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DIANE L HEJNA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOON BURNAM (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since September 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since September 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NEELIMA DITTAKAVI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NEELIMA DITTAKAVI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LISA STOLARCZYK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LISA STOLARCZYK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LISA STOLARCZYK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: THE ENSIGN GROUP INC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since September 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- July 1, 2024: ROSE M LEE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- April 1, 2024: JILL C JONES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: DONNA J MARKHAM (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: SEAN ARORA (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: MARVIN R O'QUINN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- March 15, 2023: CHRISTINA Y FISHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MARY BETH KINGSTON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JAMES MARTIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: ERIK GOLDSCHMIDT WEXLER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: TERRI P WARREN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- January 1, 2023: NICOLE A SIKES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- October 31, 2022: JO ANN ESCASA-HAIGH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ROBERT HELLRIGEL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DIANNA REELY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since August 30, 2010. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- January 6, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
- December 1, 2025: PROVIDENCE ST. JOSEPH HEALTH no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ANNA R NEWSOM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ERIC D SPRUNK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JILL C JONES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARY BETH KINGSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PROVIDENCE HEALTH & SERVICES no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MICHAEL W MURPHY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DONNA MARKHAM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ISIAAH D CRAWFORD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GREGORY DAVID HOFFMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SEAN ARORA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DONALD WAYNE ANDERSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DIANNA REELY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CHARLES WALLACE SORENSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JAMES MARTIN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PHYLLIS M HUGHES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NICOLE SIKES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARY E LYONS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ERIK WEXLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PROVIDENCE HEALTH & SERVICES - WASHINGTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PROVIDENCE HEALTH & SERVICES - WASHINGTON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CAROL ELIZABETH PACINI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: TERRI P WARREN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ROSE M LEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARVIN O'QUINN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: RICHARD S BLAIR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DIANE L HEJNA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOON BURNAM (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since September 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since September 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NEELIMA DITTAKAVI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NEELIMA DITTAKAVI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LISA STOLARCZYK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LISA STOLARCZYK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LISA STOLARCZYK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: THE ENSIGN GROUP INC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since September 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: enrollment_id: O20110131000855 → O20250822002655. Skilled_Nursing_Facility_Enrollments_:_2025-12-01.csv
- November 14, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 20, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 1, 2024: ROSE M LEE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | November 21, 2025 | November 21, 2025 | 9 | 13 |
| 2 | August 1, 2024 | August 1, 2024 | 28 | 13 |
| 3 | April 25, 2023 | April 25, 2023 | 13 | 15 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
50 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| November 21, 2025 | 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 | January 6, 2026 |
| November 21, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | January 6, 2026 |
| November 21, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | January 6, 2026 |
| November 21, 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | January 6, 2026 |
| November 21, 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. | D | No | Deficient, Provider has date of correction | January 6, 2026 |
| November 21, 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 | January 6, 2026 |
| November 21, 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. | D | No | Deficient, Provider has date of correction | January 6, 2026 |
| November 21, 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 | January 6, 2026 |
| November 21, 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | January 6, 2026 |
| February 28, 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 | March 21, 2025 |
| February 28, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Yes | Deficient, Provider has date of correction | March 21, 2025 |
| September 25, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | October 9, 2024 |
| August 1, 2024 | 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 | September 9, 2024 |
| August 1, 2024 | Health | F 0569 | Resident Rights Deficiencies | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | 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 | September 9, 2024 |
| August 1, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | Health | F 0642 | Resident Assessment and Care Planning Deficiencies | Ensure a qualified health professional conducts resident assessments. | E | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | 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 | September 9, 2024 |
| August 1, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | 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 | September 9, 2024 |
| August 1, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Yes | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | 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 | September 9, 2024 |
| August 1, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | 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 | September 9, 2024 |
| August 1, 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | 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 | September 9, 2024 |
| August 1, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | September 9, 2024 |
| August 1, 2024 | Health | F 0909 | Environmental Deficiencies | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | No | Deficient, Provider has date of correction | September 9, 2024 |
| April 12, 2024 | Health | F 0624 | Resident Rights Deficiencies | Prepare residents for a safe transfer or discharge from the nursing home. | D | Yes | Deficient, Provider has date of correction | May 17, 2024 |
| April 25, 2023 | 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 | June 7, 2023 |
| April 25, 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 | June 7, 2023 |
| April 25, 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 | June 7, 2023 |
| April 25, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | June 7, 2023 |
| April 25, 2023 | 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 | June 7, 2023 |
| April 25, 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 | June 7, 2023 |
| April 25, 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 | June 7, 2023 |
| April 25, 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 | June 7, 2023 |
| April 25, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | June 7, 2023 |
| April 25, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | June 7, 2023 |
| April 25, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | June 7, 2023 |
| April 25, 2023 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | June 7, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| February 28, 2025 | Fine | $31,694 | 43678 | ||
| August 1, 2024 | Fine | $32,880 | 43638 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | LUNA VEGA HEALTHCARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | King |
| Telephone Number | 4253912800 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| 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 | 117 |
| Average Number of Residents per Day | 82.2 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| 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.
Get an email when this record changes
One email a day naming what moved on MARIANWOOD HEALTH AND REHABILITATION: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On January 6, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for MARIANWOOD HEALTH AND REHABILITATION
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Washington at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 505418.