Skilled nursing facility · CMS certification number 555104
CONCORD POST ACUTE
CONCORD, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 190
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: $30,820.00 · Payment denials: 0. The most recent penalty on file: May 29, 2026, Fine, $30,820. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $39,479,792 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,160,376 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $36,319,416 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $32,049,378 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,270,038 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $64,493 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,334,531 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,334,531 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 69,540 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,986 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,070 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 57,354 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 67,410 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 71 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 214 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 303 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 281.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 222.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438239, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for May 1, 2023 to December 31, 2023 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,222,324 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,419,717 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,802,607 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,127,229 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $675,378 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,161 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $699,539 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $699,539 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,989 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 281 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 474 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395434, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 26, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $30,871,506 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$218,864 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $31,090,370 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,456,836 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $633,534 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,624 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $646,158 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $646,158 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,671 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 578 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,794.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1348673, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,890,180 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $33,404 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,856,776 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,447,356 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $409,420 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $818,944 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,228,364 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,233,457 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,583 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 520 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,109 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314647, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 29, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,062,866 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,502,446 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,560,420 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,311,452 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$751,032 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $250,782 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$500,250 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$500,250 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,409 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,720.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 411.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303467, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 8, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,879,174 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,193,154 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,686,020 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,040,162 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,354,142 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $514,706 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$839,436 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$839,436 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 63,900 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 95.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,451.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,161.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1257145, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 29, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,314,453 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,960,382 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,354,071 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,210,293 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $143,778 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,400 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $165,178 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $165,178 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 65,808 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 155 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 663.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 424.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222188, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,022,005 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,372,801 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,649,204 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,646,291 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,913 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $45,833 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $48,746 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $48,746 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 67,609 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 189.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,056.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 669.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188192, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 5, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,167,381 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,672,448 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,494,933 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,386,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $108,061 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $68,062 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $176,123 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $176,123 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 66,735 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 111 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 200.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,012.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 601.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156832, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 29, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,620,791 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,897,118 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,723,673 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,768,749 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$45,076 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,665 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$26,411 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$26,411 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 65,828 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 687.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 376.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122986, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,982,327 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,244,961 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,737,366 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,971,674 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$234,308 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,594 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$222,714 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$222,714 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 63,632 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 203 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 552.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 313.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121679, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 9, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,313,063 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,727,850 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,585,213 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,806,402 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$221,189 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,130 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$191,059 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$191,059 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,844 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 192 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 489.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 327.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1059688, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,351,456 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,449,239 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,902,217 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,082,939 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$180,722 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $141,682 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$39,040 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$39,040 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,671 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 114.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 625.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 455.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027371, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 30, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,262,057 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,452,041 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$189,984 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $197,576 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $7,592 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,874 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 106.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 617.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 424.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 426973, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,451,541 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,806,743 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$355,202 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $378,872 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $23,670 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,135 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 196.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,715.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,002.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397659, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 10, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,029,970 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,576,375 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$546,405 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $236,481 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$309,924 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,075 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 837.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 395.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 365219, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,522,918 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,837,445 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$314,527 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $359,516 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $44,989 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,137 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 214 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 507.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 295.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 336826, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 30, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,811,677 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,853,716 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$42,039 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $57,412 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $15,373 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,900 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 241 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 389.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 256.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 307971, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 18, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,809,116 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,811,755 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,639 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,266 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $27,627 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,210 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 257 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 361.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 249.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278970, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 7, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,604,428 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,712,046 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$107,618 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $177,705 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $44,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $26,087 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,716 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 230 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 491.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 277.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 251821, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 6, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,233,267 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,260,185 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$26,918 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $65,661 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $38,743 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,633 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 220 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 440.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 293.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216163, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 3, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,127,640 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,150,554 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$22,914 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,352 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $30,438 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 65,320 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 831.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 544.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 209647, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 15, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,848,781 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,134,972 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$286,191 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,542 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$234,649 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,317 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 569.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 395.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 210858, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 5, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,667,728 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,736,995 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$69,267 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $109,257 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $39,990 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,290 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 554.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 415.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 158682, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 3, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,618,858 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,685,815 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$66,957 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $66,292 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$665 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,370 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 132 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 550.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 434.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 134635, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 31, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,152,884 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,307,108 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$154,224 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,161 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$114,063 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,049 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 464.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 333.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97333, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 15, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,519,252 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,588,540 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$69,288 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,228 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$40,060 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,502 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 507.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 352.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97331, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 29, 1996 to September 30, 1997 — a reporting period of 336 days, on form CMS-2540-96, settled, processed by CMS on March 11, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,639,605 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,721,029 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$81,424 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,042 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$4,756 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$44,626 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,404 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 457.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 297.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97329, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended June 30, 1996
Cost report for July 1, 1995 to June 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on March 31, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,103,800 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,384,662 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$280,862 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $44,324 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$236,538 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,021 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 173 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 444.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 312.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 7404, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| DZERHACHOU, VASILI | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 11/28/2022 |
| APT, FREDERICK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| HANCOCK, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| ALLEN, FORREST | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 11/30/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LIME RIDGE HEALTHCARE LLC (enrollment ID O20230912003763).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JASON H MURRAY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41.8 | 4/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK D HANCOCK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41.8 | 4/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| VASILI DZERHACHOU | Individual | CONTRACTED MANAGING EMPLOYEE | Not stated in the filing | 11/28/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FREDERICK G APT | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN T MITCHELL | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA O JERGENSEN | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK D HANCOCK | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FORREST ALLEN | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 11/30/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: PROVIDENCE GROUP INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: JOSHUA O JERGENSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: PROVIDENCE GROUP NH, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: VASILI DZERHACHOU (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since November 28, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- August 1, 2024: KAREN JARVIS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: KAREN JARVIS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: VELDA PIERCE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: VELDA PIERCE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: VELDA PIERCE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: PHYLENE RIRIE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: MARK D HANCOCK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: MARK D HANCOCK (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: FORREST ALLEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: FREDERICK G APT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JOHN T MITCHELL (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JASON H MURRAY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JASON H MURRAY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: PROVIDENCE GROUP INC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
Recent changes on this record
- July 9, 2026: A deficiency was cited under tag F 0583, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 8, 2026: A deficiency was cited under tag F 0755, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 20, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 20, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 1, 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: PROVIDENCE GROUP INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: JOSHUA O JERGENSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: PROVIDENCE GROUP NH, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: VASILI DZERHACHOU (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since November 28, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- August 1, 2024: KAREN JARVIS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: KAREN JARVIS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: VELDA PIERCE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: VELDA PIERCE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: VELDA PIERCE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: PHYLENE RIRIE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: MARK D HANCOCK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: MARK D HANCOCK (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: FORREST ALLEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: FREDERICK G APT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JOHN T MITCHELL (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JASON H MURRAY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JASON H MURRAY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: PROVIDENCE GROUP INC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- May 26, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- October 29, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- June 8, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- March 29, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 5, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- April 29, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- April 20, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- May 9, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- April 19, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- March 30, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- April 20, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- March 10, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 17, 2025 | April 17, 2025 | 11 | 11 |
| 2 | November 16, 2023 | November 16, 2023 | 12 | 4 |
| 3 | May 7, 2021 | May 7, 2021 | 17 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
40 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 9, 2026 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | August 3, 2026 |
| July 8, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Yes | Deficient, Provider has date of correction | August 7, 2026 |
| May 29, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | June 15, 2026 |
| February 5, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Yes | Deficient, Provider has date of correction | March 2, 2026 |
| February 5, 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 | Yes | Deficient, Provider has date of correction | March 2, 2026 |
| February 5, 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 | Yes | Deficient, Provider has date of correction | March 2, 2026 |
| December 11, 2025 | Health | F 0839 | Administration Deficiencies | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Yes | Deficient, Provider has date of correction | December 26, 2025 |
| April 17, 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 | No | Deficient, Provider has date of correction | June 7, 2025 |
| April 17, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | June 7, 2025 |
| April 17, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | June 7, 2025 |
| April 17, 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 | June 7, 2025 |
| November 16, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | December 16, 2023 |
| November 16, 2023 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | December 16, 2023 |
| November 16, 2023 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | December 16, 2023 |
| November 16, 2023 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | December 16, 2023 |
| November 16, 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 | December 16, 2023 |
| November 16, 2023 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | December 16, 2023 |
| November 16, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | December 16, 2023 |
| November 16, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | December 16, 2023 |
| November 16, 2023 | 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. | D | No | Deficient, Provider has date of correction | December 16, 2023 |
| November 16, 2023 | 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 | December 16, 2023 |
| November 16, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | December 16, 2023 |
| November 16, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 16, 2023 |
| September 20, 2023 | Health | F 0559 | Resident Rights Deficiencies | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Yes | Deficient, Provider has date of correction | October 20, 2023 |
| September 20, 2023 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Yes | Deficient, Provider has date of correction | October 20, 2023 |
| September 12, 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 | Yes | Deficient, Provider has date of correction | October 12, 2023 |
| September 5, 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. | D | Yes | Deficient, Provider has date of correction | September 24, 2023 |
| May 7, 2021 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | August 2, 2021 |
| May 7, 2021 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | August 2, 2021 |
| May 7, 2021 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | August 2, 2021 |
| May 7, 2021 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | August 2, 2021 |
| May 7, 2021 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | E | No | Deficient, Provider has date of correction | August 2, 2021 |
| May 7, 2021 | 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 | August 2, 2021 |
| May 7, 2021 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | August 2, 2021 |
| May 7, 2021 | 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 | August 2, 2021 |
| May 7, 2021 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | August 2, 2021 |
| May 7, 2021 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | August 2, 2021 |
| May 7, 2021 | 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 | August 2, 2021 |
| May 7, 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | August 2, 2021 |
| May 7, 2021 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | E | No | Deficient, Provider has date of correction | August 2, 2021 |
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 |
|---|---|---|---|---|---|
| May 29, 2026 | Fine | $30,820 | 140346 |
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 | LIME RIDGE HEALTHCARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1979-02-15 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Contra Costa |
| Telephone Number | 9258254280 |
| Chain Name | PACS GROUP |
| Chain ID | 690 |
| 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 | 190 |
| Average Number of Residents per Day | 188.0 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| 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.
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