Skilled nursing facility · CMS certification number 505529
AVAMERE TRANSITIONAL CARE OF PUGET SOUND
TACOMA, Washington · Medicare and Medicaid
Certified beds, as filed in Care Compare: 60
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: $23,319.00 · Payment denials: 0. The most recent penalty on file: March 19, 2026, Fine, $23,319. 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 June 17, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,147,924 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,218,018 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,929,906 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,688,750 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $241,156 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $797,312 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,038,468 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,038,468 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,960 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,970 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,182 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,807 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,959 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 227 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 37 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 630 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 894 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 22.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1432214, 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 17, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,838,871 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,153,936 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,684,935 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,548,860 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $136,075 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,343 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $142,418 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $142,418 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,565 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 840 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 93.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 24.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405369, 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 October 30, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,892,727 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,793,263 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,099,464 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,260,234 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$160,770 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $153,691 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$7,079 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$7,079 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,847 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 699 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 83.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 28.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398441, 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 November 22, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,537,275 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,909,691 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,627,584 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,876,320 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,248,736 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $355,068 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$893,668 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$893,668 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,500 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 617 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 76.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 29.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1368500, 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 19, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,138,233 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,505,321 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,632,912 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,811,325 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,178,413 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,284,016 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$894,397 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$894,397 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,101 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 486 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 80.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 29.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340571, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 11, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,549,360 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,278,631 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,270,729 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,817,729 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,547,000 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,465 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,542,535 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,542,535 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,013 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 556 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 100.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 23.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310336, 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 28, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,719,960 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,634,105 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,085,855 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,758,573 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,672,718 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,949 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,668,769 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,668,769 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,470 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 458 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 57.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 20.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1261718, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for March 27, 2017 to December 31, 2017 — a reporting period of 279 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 30, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,186,293 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,104,982 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,081,311 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,219,742 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,138,431 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,163 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,132,268 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,132,268 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,702 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 185 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 20.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1211153, read from the public cost report file SNF10FY2017.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 |
|---|---|---|---|---|
| MIDCAP FINCO LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 01/22/2010 |
| AVAMERE HEALTH SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/17/2026 |
| AVAMERE SKILLED ADVISORS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/07/2025 |
| DAVIS, JULIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2024 |
| FANUNAL, LORIEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2023 |
| FEAKIN, CODY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| FOWLER, KATHERINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/28/2025 |
| FUNDERBERG, MICHELLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/31/2024 |
| GAMES, KIM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/15/2024 |
| GARCIA, ROBERTO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2026 |
| INSKEEP, TODD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2022 |
| JOHNSON, CATHERINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/09/2023 |
| KOFSTAD, MARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/13/2024 |
| OKOLI, IKE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/19/2026 |
| PRESLEY, YOLANDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/06/2025 |
| REID, MISTY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2025 |
| RODERICK, GLEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2024 |
| SCHMITZ, BRADLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2023 |
| SNAPMEDTECH,INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/08/2025 |
| STAPLES, CAROLYN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/05/2023 |
| STRUNK, COLBY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/06/2022 |
| THRONE, CINDY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/10/2025 |
| VANDERZANDEN, CARRIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| WAGNER, SHERRIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/16/2025 |
| KOFSTAD, MARY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/26/2026 |
| CAVALLO, GLEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| FEAKIN, CODY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| FUNDERBERG, MICHELLE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| GARCIA, ROBERTO | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/01/2026 |
| INSKEEP, TODD | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| KOFSTAD, MARY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| REID, MISTY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| STAPLES, CAROLYN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2025 |
| STRUNK, COLBY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| VANDERZANDEN, CARRIE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| AVAMERE HEALTH SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2005 |
| AVAMERE SKILLED ADVISORS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2005 |
| FANUNAL, LORIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/02/2023 |
| FEAKIN, CODY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/15/2025 |
| FISHER, TONYA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/19/2026 |
| FOWLER, KATHERINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/28/2025 |
| GARCIA, ROBERTO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2026 |
| JOHNSON, CATHERINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/09/2023 |
| KOFSTAD, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/13/2024 |
| MIDCAP FINCO LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/22/2010 |
| OKOLI, IKE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/06/2023 |
| PRESLEY, YOLANDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/06/2025 |
| REID, MISTY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/02/2025 |
| RODERICK, GLEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2024 |
| SCHMITZ, BRADLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2023 |
| SIMPSON, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GEORGIAN REHAB LLC (enrollment ID O20161109001074).
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 |
|---|---|---|---|---|---|
| ARISO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/6/2006 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ARI OPERATIONS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/6/2006 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| AVAMERE GROUP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/1/2006 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| KARL RICKARD MILLER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/1/1998 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KARL RICKARD MILLER JR REVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/11/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| MIDCAP FINCO LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 1/22/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| AVAMERE HEALTH SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/17/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| AVAMERE SKILLED ADVISORS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRADLEY J SCHMITZ | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROLYN STAPLES | Individual | ADP OF THE SNF | Not stated in the filing | 10/5/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARRIE VANDERZANDEN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CATHERINE JOHNSON | Individual | ADP OF THE SNF | Not stated in the filing | 10/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CINDY THRONE | Individual | ADP OF THE SNF | Not stated in the filing | 11/10/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CODY FEAKIN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COLBY STRUNK | Individual | ADP OF THE SNF | Not stated in the filing | 9/6/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GLEN RODERICK | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IKE OKOLI | Individual | ADP OF THE SNF | Not stated in the filing | 3/19/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE DAVIS | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHERINE FOWLER | Individual | ADP OF THE SNF | Not stated in the filing | 2/28/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIM GAMES | Individual | ADP OF THE SNF | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LORIEL FANUNAL | Individual | ADP OF THE SNF | Not stated in the filing | 1/2/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY KOFSTAD | Individual | ADP OF THE SNF | Not stated in the filing | 2/13/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELLE FUNDERBERG | Individual | ADP OF THE SNF | Not stated in the filing | 12/31/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MISTY DAWN REID | Individual | ADP OF THE SNF | Not stated in the filing | 1/2/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERTO GARCIA | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHERRIE WAGNER | Individual | ADP OF THE SNF | Not stated in the filing | 12/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SNAPMEDTECH,INC. | Organization | ADP OF THE SNF | Not stated in the filing | 9/8/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TODD INSKEEP | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YOLANDA PRESLEY | Individual | ADP OF THE SNF | Not stated in the filing | 1/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 8/17/2017 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 7/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 7/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 8/7/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 7/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 7/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 7/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 8/17/2017 | Private equity company: No Real estate investment trust: Yes Holding company: Yes |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/8/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 8/17/2017 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CAROLYN STAPLES | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARRIE VANDERZANDEN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CODY FEAKIN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COLBY STRUNK | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GLEN ROBERT CAVALLO | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY KOFSTAD | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELLE FUNDERBERG | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MISTY DAWN REID | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERTO GARCIA | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TODD INSKEEP | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW SIMPSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AVAMERE HEALTH SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 1/1/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| AVAMERE SKILLED ADVISORS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRADLEY J SCHMITZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CATHERINE JOHNSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CODY FEAKIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GLEN RODERICK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IKE OKOLI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/6/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHERINE FOWLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/28/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LORIEL FANUNAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/2/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY KOFSTAD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/13/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIDCAP FINCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/22/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| MISTY DAWN REID | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/2/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERTO GARCIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TONYA FISHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/19/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YOLANDA PRESLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- August 1, 2026: MARY KOFSTAD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: IKE OKOLI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ANDREW SIMPSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: BRADLEY J SCHMITZ no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CARRIE VANDERZANDEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CARRIE VANDERZANDEN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MISTY DAWN REID (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MISTY DAWN REID (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MISTY DAWN REID (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CODY FEAKIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CODY FEAKIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CODY FEAKIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since July 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: YOLANDA PRESLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: YOLANDA PRESLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MARY KOFSTAD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MARY KOFSTAD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MARY KOFSTAD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JULIE DAVIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KIM GAMES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: LORIEL FANUNAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: LORIEL FANUNAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: GLEN RODERICK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: GLEN RODERICK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: COLBY STRUNK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since September 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: COLBY STRUNK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ROBERTO GARCIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ROBERTO GARCIA (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ROBERTO GARCIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: TODD INSKEEP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: TODD INSKEEP (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CATHERINE JOHNSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CATHERINE JOHNSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: IKE OKOLI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since March 19, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: IKE OKOLI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since March 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: TONYA FISHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 19, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CINDY THRONE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SNAPMEDTECH,INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since September 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: AVAMERE HEALTH SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since March 17, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KARL RICKARD MILLER JR REVOCABLE TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since July 11, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CAROLYN STAPLES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since October 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CAROLYN STAPLES (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SHERRIE WAGNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: GLEN ROBERT CAVALLO (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MIDCAP FINCO LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 22, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MIDCAP FINCO LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 22, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ANDREW SIMPSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: AVAMERE SKILLED ADVISORS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since July 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: AVAMERE SKILLED ADVISORS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: BRADLEY J SCHMITZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: BRADLEY J SCHMITZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KATHERINE FOWLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KATHERINE FOWLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 17, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MICHELLE FUNDERBERG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MICHELLE FUNDERBERG (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- October 1, 2024: RONALD A ODERMOTT no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: RICHARD A DILLON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: CARL TABOR no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: BRADLEY J SCHMITZ (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- September 1, 2024: GARY A. WART no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: GARY A. WART no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: JOHN W MORGAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: JOHN W MORGAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: RONALD A ODERMOTT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: MARY KOFSTAD (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since February 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: IKE OKOLI (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since March 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: ANDREW SIMPSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since June 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- August 1, 2026: MARY KOFSTAD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: IKE OKOLI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ANDREW SIMPSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: BRADLEY J SCHMITZ no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CARRIE VANDERZANDEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CARRIE VANDERZANDEN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MISTY DAWN REID (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MISTY DAWN REID (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MISTY DAWN REID (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CODY FEAKIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CODY FEAKIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CODY FEAKIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since July 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: YOLANDA PRESLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: YOLANDA PRESLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MARY KOFSTAD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MARY KOFSTAD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MARY KOFSTAD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JULIE DAVIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KIM GAMES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: LORIEL FANUNAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: LORIEL FANUNAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: GLEN RODERICK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: GLEN RODERICK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: COLBY STRUNK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since September 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: COLBY STRUNK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ROBERTO GARCIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ROBERTO GARCIA (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ROBERTO GARCIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: TODD INSKEEP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: TODD INSKEEP (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CATHERINE JOHNSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CATHERINE JOHNSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: IKE OKOLI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since March 19, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: IKE OKOLI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since March 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: TONYA FISHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 19, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CINDY THRONE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SNAPMEDTECH,INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since September 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: AVAMERE HEALTH SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since March 17, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KARL RICKARD MILLER JR REVOCABLE TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since July 11, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CAROLYN STAPLES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since October 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | November 25, 2025 | November 25, 2025 | 14 | 21 |
| 2 | July 31, 2024 | July 31, 2024 | 11 | 12 |
| 3 | August 18, 2023 | August 18, 2023 | 20 | 17 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
45 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 19, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | April 13, 2026 |
| March 19, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | April 13, 2026 |
| November 25, 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 | October 30, 2025 |
| November 25, 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 | October 30, 2025 |
| November 25, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | October 30, 2025 |
| November 25, 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 | October 30, 2025 |
| November 25, 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 | October 30, 2025 |
| November 25, 2025 | 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. | E | No | Deficient, Provider has date of correction | October 30, 2025 |
| November 25, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | October 30, 2025 |
| November 25, 2025 | 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 | October 30, 2025 |
| November 25, 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. | F | No | Deficient, Provider has date of correction | October 30, 2025 |
| November 25, 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | C | No | Deficient, Provider has date of correction | October 30, 2025 |
| November 25, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 30, 2025 |
| September 15, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | October 1, 2025 |
| March 13, 2025 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Yes | Past Non-Compliance | March 7, 2025 |
| July 31, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| July 31, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| July 31, 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. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| July 31, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| July 31, 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. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| July 31, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| July 31, 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. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| July 31, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| July 31, 2024 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| July 31, 2024 | 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 | September 11, 2024 |
| August 18, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | September 28, 2023 |
| August 18, 2023 | 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. | E | No | Deficient, Provider has date of correction | September 28, 2023 |
| August 18, 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. | E | No | Deficient, Provider has date of correction | September 28, 2023 |
| August 18, 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 | September 28, 2023 |
| August 18, 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 | September 28, 2023 |
| August 18, 2023 | 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 | September 28, 2023 |
| August 18, 2023 | 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. | E | No | Deficient, Provider has date of correction | September 28, 2023 |
| August 18, 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 | September 28, 2023 |
| August 18, 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 | September 28, 2023 |
| August 18, 2023 | 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 28, 2023 |
| August 18, 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 | September 28, 2023 |
| August 18, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | No | Deficient, Provider has date of correction | September 28, 2023 |
| August 18, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | September 28, 2023 |
| August 18, 2023 | 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 | September 28, 2023 |
| August 18, 2023 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | September 28, 2023 |
| August 18, 2023 | 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 | September 28, 2023 |
| August 18, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | September 28, 2023 |
| August 18, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | September 28, 2023 |
| August 18, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | September 28, 2023 |
| August 18, 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | September 28, 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 |
|---|---|---|---|---|---|
| March 19, 2026 | Fine | $23,319 | 138901 |
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 | GEORGIAN REHAB LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2017-03-27 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Pierce |
| Telephone Number | 2536717300 |
| Chain Name | AVAMERE |
| Chain ID | 58 |
| 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 | 60 |
| Average Number of Residents per Day | 53.9 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 5 |
| 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 AVAMERE TRANSITIONAL CARE OF PUGET SOUND: 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 August 1, 2026: MARY KOFSTAD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for AVAMERE TRANSITIONAL CARE OF PUGET SOUND
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 505529.