Skilled nursing facility · CMS certification number 505484
NORTHWOODS LODGE
SILVERDALE, Washington · Medicare and Medicaid
Certified beds, as filed in Care Compare: 57
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $51,942.00 · Payment denials: 0. The most recent penalty on file: January 13, 2025, Fine, $51,942. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on May 23, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,391,063 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,176,919 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,214,144 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,572,575 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $641,569 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $72,649 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $714,218 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $714,218 (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 | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 20,862 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 14,964 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,677 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,920 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,561 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 562 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 21 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 174 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 757 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 79.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 24.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1424683, 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 March 7, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,353,094 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,161,070 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,192,024 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,796,273 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $395,751 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $354,825 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $750,576 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $750,576 (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 | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,759 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 681 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 27.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1404893, 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 September 6, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,142,586 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,866,431 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,276,155 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,606,403 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,330,248 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $187,486 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,142,762 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,142,962 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,659 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 626 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 25.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394224, 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 December 22, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,460,345 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,329,292 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,131,053 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,610,489 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,479,436 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,447,973 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$31,463 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$67,224 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,374 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 621 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 23.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371210, 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 February 27, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,673,373 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,282,384 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,390,989 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,422,051 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,031,062 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $746,296 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$284,766 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$284,766 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,128 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 656 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 83.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 23.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343310, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for May 1, 2019 to December 31, 2019 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 4, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,465,491 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,059,593 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,405,898 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,770,663 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$364,765 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $186,813 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$177,952 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$177,952 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,845 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 613 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 17.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309969, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,780,055 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,543,194 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,236,861 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,990,371 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$753,510 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $326,392 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$427,118 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$427,118 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,281 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 863 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 17.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260525, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for March 1, 2017 to December 31, 2017 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,038,642 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,244,496 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,794,146 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,228,839 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$434,693 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $339,957 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$94,736 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$104,383 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,005 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 764 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 17.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208870, 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 21, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,384,417 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,275,102 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,109,315 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,567,609 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$458,294 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $131,229 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$327,065 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$336,336 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,693 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 951 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 16.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170372, 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 May 5, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,374,463 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,253,409 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,121,054 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,299,990 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$178,936 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $99,828 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$79,108 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$79,108 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,818 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 957 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 16.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156831, 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 August 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,629,647 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,742,566 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,887,081 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,108,720 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$221,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $39,895 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$181,744 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$181,744 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,106 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 950 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 16.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142981, 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 August 20, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,106,680 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,898,717 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,207,963 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,817,966 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$610,003 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,741 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$583,262 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$583,262 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,418 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 954 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 16.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108299, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended August 15, 2012
Cost report for November 1, 2011 to August 15, 2012 — a reporting period of 288 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 26, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,374,366 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,600,173 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,774,193 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,583,910 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $190,283 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,632,343 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,822,626 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $6,822,626 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,441 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 757 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 16.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1057455, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended October 31, 2011
Cost report for November 1, 2010 to October 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 14, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,140,792 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,557,313 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $583,479 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $107,978 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $691,457 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,845 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 993 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 15.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428934, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended October 31, 2010
Cost report for November 1, 2009 to October 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 27, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,701,687 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,301,638 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $400,049 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $96,840 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $496,889 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,764 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,017 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 15.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 401336, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended October 31, 2009
Cost report for November 1, 2008 to October 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 26, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,593,550 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,089,724 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $503,826 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $84,715 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $164 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $588,377 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,856 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,034 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 15.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 370714, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended October 31, 2008
Cost report for November 1, 2007 to October 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 28, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,987,444 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,921,705 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $65,739 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $85,473 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $151,212 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,086 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 999 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 16.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 340742, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended October 31, 2007
Cost report for November 1, 2006 to October 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 29, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,774,994 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,748,479 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $26,515 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $109,271 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $50 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $135,736 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,929 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 988 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 16.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 310555, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended October 31, 2006
Cost report for November 1, 2005 to October 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 1, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,608,556 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,372,818 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $235,738 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $77,180 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $312,918 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,812 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,009 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 15.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308065, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended October 31, 2005
Cost report for November 1, 2004 to October 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 17, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,016,601 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,962,359 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $54,242 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $68,240 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $122,482 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,606 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 868 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 17.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270559, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended October 31, 2004
Cost report for November 1, 2003 to October 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 17, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,710,478 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,555,721 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $154,757 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $68,777 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $223,534 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,649 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 838 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 18.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243201, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended October 31, 2003
Cost report for November 1, 2002 to October 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 3, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,340,793 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,226,755 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $114,038 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $86,879 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $200,917 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,305 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 889 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 17.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 215753, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended October 31, 2002
Cost report for November 1, 2001 to October 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 3, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,500,785 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,598,509 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$97,724 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,383 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$37,341 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,926 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 759 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 18.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174840, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended October 31, 2001
Cost report for November 1, 2000 to October 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,051,686 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,949,599 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $102,087 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,541 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $142,628 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,220 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 817 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 17.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 144898, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended October 31, 2000
Cost report for November 1, 1999 to October 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 11, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,498,668 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,550,240 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$51,572 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $152,619 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $101,047 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,493 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 708 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 20.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67944, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended October 31, 1999
Cost report for November 1, 1998 to October 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,740,766 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,958,929 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$218,163 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $164,512 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$53,651 (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 | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,833 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 614 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 22.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67942, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended October 31, 1998
Cost report for November 1, 1997 to October 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on September 19, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,522,732 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,535,262 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$12,530 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,544 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $13,014 (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 | 44 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,390 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 528 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 25.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67940, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended October 31, 1997
Cost report for November 1, 1996 to October 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on October 17, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,688,443 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,814,097 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$125,654 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,394 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $87,067 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$161,327 (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 | 44 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,325 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 463 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 28.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67937, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended October 31, 1996
Cost report for November 1, 1995 to October 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 14, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,920,610 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,187,127 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$266,517 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,443 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$288,170 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $51,096 (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 | 41 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,441 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 437 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 26.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67936, 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 |
|---|---|---|---|---|
| SP SILVERDALE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/02/2012 |
| HALVERSON, MELISSA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 04/02/2018 |
| HANSEN, CHARLES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 04/02/2012 |
| MUNCH TOOKE, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/02/2012 |
| MUNCH, MICHAEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 04/02/2012 |
| SANTE HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/02/2012 |
| SP RE SILVERDALE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/02/2012 |
| TOOKE, ARTHUR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 04/02/2012 |
| SCHAEFER, JACOB | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/02/2012 |
| HANSEN, CHARLES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/02/2012 |
| MUNCH, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/02/2012 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SANTE SNF OP CO, LLC (enrollment ID O20190430001107).
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 |
|---|---|---|---|---|---|
| SP SILVERDALE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/2/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| ARTHUR A TOOKE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12 | 4/2/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES M HANSEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15 | 4/2/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MELISSA HALVERSON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 4/2/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL T MUNCH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12 | 4/2/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MUNCH TOOKE, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 4/2/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| SANTE HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33 | 4/2/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| SANTE PARTNERS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33 | 4/2/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| SP RE SILVERDALE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 4/2/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| JACOB T SCHAEFER | Individual | CORPORATE OFFICER | Not stated in the filing | 4/2/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES M HANSEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 4/2/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL T MUNCH | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 4/2/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- May 23, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 7, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 6, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- December 22, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 27, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- February 4, 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 17, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- March 20, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 31, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 21, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 5, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 30, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 20, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- March 26, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- July 27, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- May 14, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- May 27, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- May 26, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- May 28, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- May 29, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- May 1, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- January 17, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- February 17, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- May 3, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- May 3, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- May 12, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- January 11, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- August 2, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- October 17, 2000: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- September 19, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- October 14, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 16, 2026 | March 16, 2026 | 8 | 1 |
| 2 | January 13, 2025 | January 13, 2025 | 21 | 3 |
| 3 | January 12, 2024 | January 12, 2024 | 7 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
36 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 16, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | No | Deficient, Provider has date of correction | April 15, 2026 |
| March 16, 2026 | 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 | April 15, 2026 |
| March 16, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | April 15, 2026 |
| March 16, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | April 15, 2026 |
| March 16, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | April 15, 2026 |
| March 16, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | April 15, 2026 |
| March 16, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | April 15, 2026 |
| March 16, 2026 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | No | Deficient, Provider has date of correction | April 15, 2026 |
| June 25, 2025 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | D | Yes | Deficient, Provider has date of correction | July 29, 2025 |
| January 13, 2025 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 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 | February 18, 2025 |
| January 13, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | 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 | February 18, 2025 |
| January 13, 2025 | 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 | February 18, 2025 |
| January 13, 2025 | 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. | D | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | 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. | D | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | February 18, 2025 |
| January 13, 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | February 18, 2025 |
| September 27, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | Yes | Deficient, Provider has date of correction | October 28, 2024 |
| September 27, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | October 28, 2024 |
| March 28, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | April 30, 2024 |
| January 12, 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | February 13, 2024 |
| January 12, 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 | February 13, 2024 |
| January 12, 2024 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | No | Deficient, Provider has date of correction | February 13, 2024 |
| January 12, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | February 13, 2024 |
| January 12, 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 | February 13, 2024 |
| October 31, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | December 5, 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 |
|---|---|---|---|---|---|
| January 13, 2025 | Fine | $51,942 | 43676 |
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 | SANTE SNF OP CO, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1994-02-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Kitsap |
| Telephone Number | 3606983930 |
| Chain Name | SANTE |
| Chain ID | 466 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 57 |
| Average Number of Residents per Day | 52.6 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on NORTHWOODS LODGE: 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 May 23, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for NORTHWOODS LODGE
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 505484.