Skilled nursing facility · CMS certification number 555276
SAN BRUNO SKILLED NURSING
SAN BRUNO, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 45
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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. 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 | $16,649,657 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,509,411 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,140,246 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,462,663 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $677,583 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,310 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $685,893 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $685,893 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 16,470 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,764 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 778 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,838 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 15,380 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 71 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 223 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 295 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 778 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438899, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 17, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,589,631 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $972,107 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,617,524 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,904,446 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $713,078 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,721 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $729,799 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $729,799 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,959 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 307 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 48.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395035, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,815,256 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$769,671 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,584,927 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,964,535 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,620,392 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $168,802 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,789,194 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,789,194 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,646 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 309 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,107 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365663, 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 | $9,535,101 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,092,702 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,442,399 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,854,931 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,587,468 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $633,629 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,221,097 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,221,097 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,796 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 218 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 712 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334118, 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 3, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,220,760 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,750,259 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,470,501 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,470,837 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $999,664 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $278,215 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,277,879 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,277,879 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,402 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 179 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 707 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1306282, 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 19, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,106,053 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $600,249 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,505,804 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,280,318 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,225,486 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,219 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,229,705 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,226,024 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,060 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 208 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 969 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278640, 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 30, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,151,535 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$133,996 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,285,531 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,920,744 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $364,787 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $95,104 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $459,891 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $420,315 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,503 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 174 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 602 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243003, 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 23, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,385,656 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$288,529 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,674,185 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,888,032 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $786,153 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $109,127 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $895,280 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $894,480 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,733 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 198 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 170.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1210380, 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 21, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,876,135 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$90,276 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,966,411 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,423,036 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $543,375 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,127 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $546,502 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $545,702 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,720 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 213 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 110.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174304, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for March 1, 2015 to December 31, 2015 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,705,719 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $44,182 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,661,537 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,431,442 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $230,095 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $230,095 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $230,095 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,497 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 169.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142194, 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 1, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,679,770 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,007,933 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,671,837 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,816,551 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$144,714 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,092 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$116,622 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$116,622 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,163 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 111 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 541 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106452, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,769,501 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,243,220 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,526,281 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,559,023 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$32,742 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,220 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,522 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,522 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,467 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 497.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074141, 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 June 28, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,951,046 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,418,195 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,532,851 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,330,021 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $202,830 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,222 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $234,052 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $234,052 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,845 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 920.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1040647, 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 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,035,794 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,394,382 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,641,412 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,560,972 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $80,440 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,717 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $113,157 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $113,157 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,528 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,088.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023651, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,343,360 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,117,010 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $226,350 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,144 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $264,494 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,470 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 659.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 411436, 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 | $4,056,339 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,840,633 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $215,706 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,656 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $231,362 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,730 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 511.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 262.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385678, 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 August 5, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,690,425 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,715,164 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$24,739 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,739 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,666 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 505.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 313.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353956, 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 June 17, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,345,163 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,332,852 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $12,311 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,262 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $51,573 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,383 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 34 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 127 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 813.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 452.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 315169, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for February 1, 2006 to December 31, 2006 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on March 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,136,349 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,109,507 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $26,842 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,107 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $58,949 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,193 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 821.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 354.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305887, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended January 31, 2005
Cost report for February 1, 2004 to January 31, 2005 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 11, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,729,219 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,698,296 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $30,923 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,219 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $49,142 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,381 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,733.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 248.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249098, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended January 31, 2004
Cost report for February 1, 2003 to January 31, 2004 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,624,689 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,585,181 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $39,508 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,163 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $59,671 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,402 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 53 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,105.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 290.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 204734, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended January 31, 2003
Cost report for February 1, 2002 to January 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 5, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,552,641 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,475,152 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $77,489 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,408 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $87,897 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,597 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,009.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 421.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175292, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended January 31, 2002
Cost report for February 1, 2001 to January 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on August 4, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,469,005 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,327,398 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $141,607 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,980 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $150,587 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,618 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,063.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 380.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 189269, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended January 31, 2001
Cost report for February 1, 2000 to January 31, 2001 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
Net income: $193,299 (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.
CMS report record 125568, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended January 31, 2000
Cost report for February 1, 1999 to January 31, 2000 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 6, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,006,436 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,954,579 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $51,857 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,501 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $56,358 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,183 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 361.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74899, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended January 31, 1999
Cost report for February 1, 1998 to January 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,056,817 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,922,580 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $134,237 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,116 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $137,353 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,592 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 487.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 7589, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended January 31, 1998
Cost report for February 1, 1997 to January 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 10, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,052,634 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,893,818 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $158,816 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,058 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $166,874 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,911 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 24 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 662.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 7587, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended January 31, 1997
Cost report for February 1, 1996 to January 31, 1997 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on June 10, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,939,024 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,921,061 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $17,963 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $184 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $246 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $17,901 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,208 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 380.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 7586, 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 |
|---|---|---|---|---|
| PROVIDENCE GROUP NORTH LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 03/01/2015 |
| PORTIER, DAVID | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 09/01/2019 |
| APT, FREDERICK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| HANCOCK, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/10/2021 |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| MCCORMACK, SHANE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 05/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SAN BRUNOIDENCE OPCO LLC (enrollment ID O20150529002209).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PROVIDENCE GROUP NORTH LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 3/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON H MURRAY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41.8 | 4/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK D HANCOCK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41.8 | 4/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PROVIDENCE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/1/2015 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| DAVID A PORTIER | Individual | CONTRACTED MANAGING EMPLOYEE | Not stated in the filing | 9/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FREDERICK G APT | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN T MITCHELL | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA O JERGENSEN | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK D HANCOCK | Individual | CORPORATE OFFICER | Not stated in the filing | 2/10/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHANE MCCORMACK | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2024: MARK D HANCOCK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JASON H MURRAY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JOSHUA O JERGENSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: DAVID A PORTIER (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- January 5, 2024: SAN BRUNOIDENCE OPCO LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: SAN BRUNOIDENCE OPCO LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
Recent changes on this record
- July 10, 2026: A deficiency was cited under tag F 0627, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 17, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 1, 2024: MARK D HANCOCK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JASON H MURRAY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JOSHUA O JERGENSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: DAVID A PORTIER (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- January 5, 2024: SAN BRUNOIDENCE OPCO LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: SAN BRUNOIDENCE OPCO LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- September 27, 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 3, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- January 19, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 30, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 23, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 21, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 22, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- May 12, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 1, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 30, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- June 28, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- January 24, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- July 19, 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
- August 5, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- June 17, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- March 28, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- February 15, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- May 11, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- January 20, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- August 4, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- May 5, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- February 13, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- September 6, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- October 3, 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- December 10, 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- June 10, 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 5, 2025 | December 5, 2025 | 16 | 3 |
| 2 | June 14, 2024 | June 14, 2024 | 18 | 11 |
| 3 | February 10, 2023 | February 10, 2023 | 3 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
37 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 10, 2026 | 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. | E | Yes | Deficient, Provider has date of correction | July 23, 2026 |
| December 30, 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 | March 10, 2026 |
| December 5, 2025 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 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. | D | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | December 26, 2025 |
| November 12, 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Yes | Deficient, Provider has date of correction | November 26, 2025 |
| August 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 | September 8, 2025 |
| June 14, 2024 | 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 | July 17, 2024 |
| June 14, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 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 | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 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 | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 17, 2024 |
| June 14, 2024 | Health | F 0920 | Environmental Deficiencies | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | F | No | Deficient, Provider has date of correction | July 17, 2024 |
| February 10, 2023 | 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 | No | Deficient, Provider has date of correction | March 13, 2023 |
| February 10, 2023 | 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 | No | Deficient, Provider has date of correction | March 13, 2023 |
| February 10, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | March 13, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | SAN BRUNOIDENCE OPCO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1987-02-27 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | San Mateo |
| Telephone Number | 6505837768 |
| Chain Name | PACS GROUP |
| Chain ID | 690 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 45 |
| Average Number of Residents per Day | 43.1 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on SAN BRUNO SKILLED NURSING: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 10, 2026: A deficiency was cited under tag F 0627, scope and severity E. That is one line of the alert.
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The citable document for SAN BRUNO SKILLED NURSING
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 555276.