Skilled nursing facility · CMS certification number 555163
Shoreline Care Center
Oxnard, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 193
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: $28,259.00 · Payment denials: 0. The most recent penalty on file: January 16, 2025, Fine, $28,259. 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 September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,964,521 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,464,967 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,429,488 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,635,866 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,793,622 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$128,545 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,665,077 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,665,077 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 70,638 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,287 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 7,424 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 50,252 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 61,963 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 67 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 285 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 320 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 672 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 26.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439227, 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 November 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,379,605 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$483,854 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,863,459 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,362,546 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $500,913 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,937 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $513,850 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $513,850 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,403 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 611 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 20.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1399242, 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 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,676,924 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $949,230 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,727,694 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,548,386 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$820,692 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$127,518 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$948,210 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$948,210 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,207 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 471 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 63.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366149, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,229,179 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,098,551 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,130,628 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,934,173 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,803,545 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,660 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,791,885 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,791,885 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,837 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 395 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 55.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334115, 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 December 29, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,015,800 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$97,306 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,113,106 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,166,959 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$53,853 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,262,022 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,208,169 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,208,169 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,072 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 346 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 40.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308162, 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 January 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,168,684 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,957,655 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,211,029 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,470,296 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$259,267 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$95,902 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$355,169 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$355,169 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,022 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 498 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,107.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278510, 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 August 6, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,603,426 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,501,545 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,101,881 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,027,066 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $74,815 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $103,127 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $177,942 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $177,942 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,134 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 519 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 207.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239795, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,655,729 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,388,211 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,267,518 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,552,014 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$284,496 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$49,624 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$334,120 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$334,120 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,855 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 562 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 146.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208921, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,245,942 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,587,415 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,658,527 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,261,192 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$602,665 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $80,705 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$521,960 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$521,960 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,807 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 563 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 172.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173001, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,604,310 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,647,473 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,956,837 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,496,548 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$539,711 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,886 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$478,825 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$478,825 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 67,001 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 629 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 150.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142361, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,270,696 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,715,381 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,555,315 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,258,216 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $297,099 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $310,497 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $607,596 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $607,596 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 68,429 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 523 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 240.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108722, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 26, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,538,536 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,767,407 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,771,129 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,131,365 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,639,764 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,885 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,662,649 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,662,649 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 67,762 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 563 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 264.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077082, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,070,418 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,299,376 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,771,042 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,671,168 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,099,874 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,753 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,120,627 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,120,627 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 68,194 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 384 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 450.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 177.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044916, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 31, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,694,073 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,306,494 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,387,579 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,577,378 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,810,201 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $2,810,201 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,782,769 (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 | 193 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 66,762 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 537 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 348.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024381, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,819,146 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,014,449 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,804,697 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,632 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,817,329 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 65,167 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 506 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 330.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415708, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,273,783 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,836,033 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,437,750 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$3,288 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,434,462 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,907 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 516 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 296.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 125.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385664, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,398,332 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,237,941 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $160,391 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $27,854 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $132,537 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,827 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 564 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 305.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362552, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 11, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,099,089 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,034,980 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,064,109 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $13,827 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,050,282 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,212 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 501 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 351.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323489, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 6, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,109,241 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,787,781 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,321,460 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $851 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,322,311 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 66,495 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 362 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 657.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 183.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 291138, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 28, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,828,744 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,243,276 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,585,468 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,434 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,586,902 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 65,865 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 334 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 432.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261988, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 28, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,893,564 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,112,892 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,780,672 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,648 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,782,320 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 65,949 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 339 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 432.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 194.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 229260, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 30, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,456,162 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,054,591 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,401,571 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,214 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,404,785 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 66,032 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 289 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.99 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 429.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 228.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 188964, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 11, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,325,636 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,132,615 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,193,021 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,921 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,197,942 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,364 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 262 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 602.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 257.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175945, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 3, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,371,383 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,667,169 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,704,214 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,317 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,709,531 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,603 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 234 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 710.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 293.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 179895, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on June 7, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,227,755 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,125,788 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,101,967 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,669 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,107,636 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,270 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 262 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 480.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 264.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 180219, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on August 10, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,621,531 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,073,422 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,548,109 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,402 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,557,511 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,411 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 391 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 288.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 174.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230482, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on November 12, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,921,778 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,660,824 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,260,954 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,904 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,273,858 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,350 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 427 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 339.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 160.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97534, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on June 17, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,450,641 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,719,980 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $730,661 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,063 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $732,724 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,537 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 426 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 245.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 151.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97533, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 24, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,316,972 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,533,448 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $783,524 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$13,687 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $769,837 (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 | 193 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,658 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 352 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 364.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 183.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97531, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| COVENANT CARE CALIFORNIA, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| COVENANT CARE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/14/2006 |
| CENTRE CAPITAL INVESTORS V, LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (B), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (Q), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (S), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/19/2008 |
| CENTRE V SECONDARY FUND, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| COVENANT HOLDCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| COVENANT SUBCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| EVANS, MARY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| LEVIN, ROBERT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| SIMS, CHRISTINE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/19/2008 |
| STOCKWELL FUND II LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/19/2008 |
| TOROK, ANDREW | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| MIDCAP FUNDING IV TRUST | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 02/20/2014 |
| ASHLEY, DAVA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/17/2018 |
| CARNEY, KEVIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2013 |
| EVANS, MARY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2013 |
| HASSELL, LANCE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/17/2018 |
| LEVIN, ROBERT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2013 |
| SIMS, CHRISTINE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2013 |
| TOROK, ANDREW | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2013 |
| ASHLEY, DAVA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/26/2018 |
| EVANS, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/14/2006 |
| HASSELL, LANCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/17/2018 |
| LEVIN, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/14/2006 |
| SIMS, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/14/2006 |
| SPARKS, CAROL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2008 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of COVENANT CARE CALIFORNIA, LLC (enrollment ID O20080401000552).
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 |
|---|---|---|---|---|---|
| COVENANT CARE CALIFORNIA, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| COVENANT CARE, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/14/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW F TOROK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.3 | 7/17/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CENTRE CAPITAL INVESTORS V, LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.7 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| CENTRE COVENANT PURCHASER (B), LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.4 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| CENTRE COVENANT PURCHASER (Q), LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.7 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| CENTRE COVENANT PURCHASER (S), LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.7 | 12/19/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| CENTRE V SECONDARY FUND, L.P. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.4 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHRISTINE M SIMS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.3 | 7/17/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COVENANT HOLDCO, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| COVENANT SUBCO, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARY A EVANS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.3 | 7/17/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT A LEVIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13.1 | 7/17/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.5 | 12/19/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| STOCKWELL FUND II LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.7 | 12/19/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| MIDCAP FUNDING IV TRUST | Organization | 5% OR GREATER SECURITY INTEREST | 40 | 2/20/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW F TOROK | Individual | CORPORATE OFFICER | 0 | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINE M SIMS | Individual | CORPORATE OFFICER | 0 | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVA A ASHLEY | Individual | CORPORATE OFFICER | Not stated in the filing | 5/17/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN P CARNEY | Individual | CORPORATE OFFICER | 0 | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LANCE A HASSELL | Individual | CORPORATE OFFICER | Not stated in the filing | 5/17/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY A EVANS | Individual | CORPORATE OFFICER | 0 | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT A LEVIN | Individual | CORPORATE OFFICER | 0 | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROL A SPARKS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINE M SIMS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/14/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVA A ASHLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/26/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LANCE A HASSELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 5/17/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY A EVANS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/14/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT A LEVIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/14/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- January 1, 2026: CAROL A SPARKS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DAVA A ASHLEY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARY A EVANS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROBERT A LEVIN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CHRISTINE M SIMS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAROL A SPARKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 1, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DAVA A ASHLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 26, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARY A EVANS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 14, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROBERT A LEVIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 14, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CHRISTINE M SIMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 14, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Recent changes on this record
- January 1, 2026: CAROL A SPARKS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DAVA A ASHLEY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARY A EVANS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROBERT A LEVIN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CHRISTINE M SIMS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAROL A SPARKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 1, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DAVA A ASHLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 26, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARY A EVANS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 14, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROBERT A LEVIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 14, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CHRISTINE M SIMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 14, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- November 20, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 11, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 26, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- December 29, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- January 15, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 6, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 11, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 23, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 25, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 26, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 1, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- January 31, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- August 17, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- August 13, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- January 18, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 11, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- August 6, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- August 28, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- August 10, 2005: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- July 28, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- July 30, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- June 7, 2004: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- June 3, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- May 11, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- November 12, 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- June 17, 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- March 24, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 24, 2026 | April 24, 2026 | 14 | 4 |
| 2 | January 16, 2025 | January 16, 2025 | 24 | 10 |
| 3 | June 17, 2022 | June 17, 2022 | 25 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
64 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 2, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | July 16, 2026 |
| April 24, 2026 | 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 | May 26, 2026 |
| April 24, 2026 | 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 | May 26, 2026 |
| April 24, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | May 26, 2026 |
| April 24, 2026 | 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 | May 26, 2026 |
| April 24, 2026 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | May 26, 2026 |
| April 24, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | May 26, 2026 |
| April 24, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 26, 2026 |
| April 24, 2026 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | May 26, 2026 |
| April 10, 2026 | 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 | Yes | Deficient, Provider has date of correction | April 26, 2026 |
| February 10, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | February 17, 2026 |
| January 22, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | February 9, 2026 |
| January 22, 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. | D | Yes | Deficient, Provider has date of correction | February 9, 2026 |
| November 25, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | December 12, 2025 |
| August 4, 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | August 27, 2025 |
| August 4, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has date of correction | August 27, 2025 |
| July 1, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | July 11, 2025 |
| July 1, 2025 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | Yes | Deficient, Provider has date of correction | July 11, 2025 |
| July 1, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | July 11, 2025 |
| July 1, 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 | Yes | Past Non-Compliance | June 1, 2025 |
| July 1, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | July 11, 2025 |
| June 30, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | July 18, 2025 |
| June 4, 2025 | Health | F 0836 | Administration Deficiencies | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | June 19, 2025 |
| April 18, 2025 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | Yes | Deficient, Provider has date of correction | May 2, 2025 |
| April 18, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | May 2, 2025 |
| March 28, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | April 10, 2025 |
| March 28, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | April 10, 2025 |
| February 28, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | March 28, 2025 |
| February 27, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| February 27, 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 | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| February 27, 2025 | 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. | J | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| January 30, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | February 21, 2025 |
| January 16, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | No | Deficient, Provider has date of correction | February 13, 2025 |
| January 16, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | E | No | Deficient, Provider has date of correction | February 13, 2025 |
| January 16, 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. | E | No | Deficient, Provider has date of correction | February 13, 2025 |
| January 16, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | February 13, 2025 |
| January 16, 2025 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | February 13, 2025 |
| September 17, 2024 | Health | F 0837 | Administration Deficiencies | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | D | Yes | Deficient, Provider has date of correction | October 9, 2024 |
| August 22, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | September 6, 2024 |
| July 15, 2024 | 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. | D | Yes | Deficient, Provider has date of correction | August 2, 2024 |
| June 25, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Yes | Deficient, Provider has date of correction | July 5, 2024 |
| March 26, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | April 12, 2024 |
| February 9, 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. | D | Yes | Deficient, Provider has date of correction | February 21, 2024 |
| December 12, 2023 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Deficient, Provider has date of correction | January 4, 2024 |
| November 15, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | November 22, 2023 |
| November 15, 2023 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | Yes | Deficient, Provider has date of correction | November 22, 2023 |
| November 15, 2023 | Health | F 0924 | Environmental Deficiencies | Put firmly secured handrails on each side of hallways. | D | Yes | Deficient, Provider has date of correction | November 22, 2023 |
| October 20, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | November 3, 2023 |
| September 25, 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 6, 2023 |
| September 25, 2023 | Health | F 0712 | Nursing and Physician Services Deficiencies | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Yes | Deficient, Provider has date of correction | October 6, 2023 |
| August 29, 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 | September 8, 2023 |
| June 17, 2022 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | No | Deficient, Provider has date of correction | July 17, 2022 |
| June 17, 2022 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | July 17, 2022 |
| June 17, 2022 | 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 | July 17, 2022 |
| June 17, 2022 | 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 | July 17, 2022 |
| June 17, 2022 | 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 | July 17, 2022 |
| June 17, 2022 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | July 17, 2022 |
| June 17, 2022 | 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 | July 17, 2022 |
| June 17, 2022 | 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 | July 17, 2022 |
| June 17, 2022 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | July 17, 2022 |
| June 17, 2022 | 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 | No | Deficient, Provider has date of correction | July 17, 2022 |
| June 17, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | July 17, 2022 |
| June 17, 2022 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | July 17, 2022 |
| June 17, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | August 1, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 16, 2025 | Fine | $28,259 | 131132 |
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 - Corporation |
| Legal Business Name | COVENANT CARE CALIFORNIA, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1984-01-30 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Ventura |
| Telephone Number | 8054883696 |
| Chain Name | COVENANT CARE |
| Chain ID | 166 |
| 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 | 193 |
| Average Number of Residents per Day | 179.6 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 1 |
| 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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On September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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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 California 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 555163.