Velarion Records

Skilled nursing facility · CMS certification number 555306

KEI-AI SOUTH BAY HEALTHCARE CENTER

GARDENA, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 98

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: $17,088.00 · Payment denials: 0. The most recent penalty on file: September 19, 2024, Fine, $17,088. 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 November 13, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$15,865,977CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$505,491CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,360,486CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,389,030CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$971,456CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$42,645CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,014,101CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,010,112 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components35,868CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days5,980CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days2,611CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days24,778CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components33,369CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges138CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges30CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges176CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components344CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days87.03CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days97CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1442355, 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 August 30, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$13,295,193CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$251,170CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,546,363CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,685,241CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$138,878CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$23,099CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$115,779CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$115,779 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,998CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components361CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.93CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days465.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days88.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393671, 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.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$10,966,677CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,550,606CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,517,283CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,112,457CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,404,826CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$15,627CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,420,453CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,420,453 (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%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,392CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components328CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days63.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days532.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days92.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366413, 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 23, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$10,565,668CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$641,667CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,207,335CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,307,281CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$99,946CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$23,326CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$76,620CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$76,620 (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%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components73CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,976CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components368CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days352.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days84.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333904, 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 November 24, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$9,650,439CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,359,214CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,291,225CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,267,698CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,976,473CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$708,171CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,268,302CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,268,302 (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%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,608CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components424CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.49CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days294.52CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days67.47CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305449, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 4, 2022.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$10,418,842CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,928CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,413,914CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,354,815CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$59,099CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,541CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$70,640CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $70,640 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,585CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components355CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.74CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days659.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days91.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309973, 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 14, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$10,124,475CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$347,875CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,472,350CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,898,821CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$573,529CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,821CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$583,350CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $583,350 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,855CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components265CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.92CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days892.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days120.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240856, 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.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$9,364,569CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$273,929CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,638,498CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,209,657CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$428,841CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$125,246CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$554,087CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $554,087 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,242CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components325CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days242.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days99.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209478, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for February 1, 2016 to December 31, 2016 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on August 9, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$7,616,640CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$98,139CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,518,501CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,828,677CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$689,824CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,572CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$699,396CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $699,396 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,921CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components110CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days419.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days272.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1172520, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended October 31, 2015

Cost report for November 1, 2014 to October 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 19, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$8,339,223CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$544,211CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,795,012CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,813,417CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$18,405CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$225,201CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$206,796CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $63,802 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,605CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components142CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days789.53CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days243.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1124082, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended October 31, 2014

Cost report for November 1, 2013 to October 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 23, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$7,805,397CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$429,531CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,375,866CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,757,009CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$381,143CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$301,844CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$79,299CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$79,300 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,349CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components65CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,866.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days543.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1099215, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended October 31, 2013

Cost report for November 1, 2012 to October 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 28, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$7,795,798CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$376,223CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,419,575CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,608,999CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$189,424CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$305,229CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$115,805CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $115,804 (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%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,245CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components108CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days539.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days326.34CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1069697, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended October 31, 2012

Cost report for November 1, 2011 to October 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 1, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$7,698,962CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$282,551CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,416,411CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,335,757CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$80,654CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$421,433CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$502,087CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $501,803 (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%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,547CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components78CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days62.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days984.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days455.73CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1028405, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended October 31, 2011

Cost report for November 1, 2010 to October 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 2, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$7,031,307CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,058,421CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$27,114CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$301,437CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$26,423CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $247,900 (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.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,528CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components35CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days90.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,723.92CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days1,015.09CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 428520, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended October 31, 2010

Cost report for November 1, 2009 to October 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 29, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$6,577,105CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,996,482CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$419,377CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$666,944CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $247,567 (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.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,513CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components35CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days68.77CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,198.67CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days986.09CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398310, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended October 31, 2009

Cost report for November 1, 2008 to October 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 12, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$6,615,239CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,841,869CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$226,630CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$501,316CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $274,686 (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.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,029CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components36CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days144.88CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,550.62CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days973.03CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 369533, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended October 31, 2008

Cost report for November 1, 2007 to October 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 15, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$6,173,667CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,322,139CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$148,472CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$402,983CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$499,542CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$245,031 (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.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,900CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components40CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days105.88CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,347.86CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days872.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 339350, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended October 31, 2007

Cost report for November 1, 2006 to October 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 31, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$5,917,925CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,945,146CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$27,221CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$215,919CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$16,860CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $171,838 (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.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,094CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components40CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.13CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,671CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days877.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 331289, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended October 31, 2006

Cost report for November 1, 2005 to October 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 2, 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$5,572,574CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,593,074CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$20,500CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$426,354CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $405,854 (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.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,538CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components80CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days46.12CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,145.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days431.73CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 301656, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended October 31, 2005

Cost report for November 1, 2004 to October 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 12, 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$5,225,366CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,196,296CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$29,070CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$200,900CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$25,575CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $204,395 (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.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,535CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components44CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days67.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days19,935CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days784.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249221, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended October 31, 2004

Cost report for November 1, 2003 to October 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 17, 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$4,775,975CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,003,292CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$227,317CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$151,864CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$5,144CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$80,597 (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.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,259CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components128CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days56.64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days366.48CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days267.65CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 243218, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended October 31, 2003

Cost report for November 1, 2002 to October 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 11, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$4,497,929CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,773,196CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$275,267CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$189,567CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$85,701 (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.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,478CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components29CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days104.8CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,984.58CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days1,223.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 210747, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended October 31, 2002

Cost report for November 1, 2001 to October 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 19, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$4,639,691CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,886,365CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$246,674CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$196,081CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$50,593 (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.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,589CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components134CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days65.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days311.64CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days258.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 176956, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended October 31, 2001

Cost report for November 1, 2000 to October 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 2, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$4,131,267CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,523,653CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$392,386CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$157,920CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$234,466 (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.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,262CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components102CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days111.22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days492.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days335.9CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 158270, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended October 31, 2000

Cost report for November 1, 1999 to October 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$3,567,938CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,240,413CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$672,475CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$246,188CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$22,526CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$448,813 (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.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,310CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components142CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days289.55CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days248.66CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 124509, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended October 31, 1999

Cost report for November 1, 1998 to October 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 6, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$3,304,243CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,955,504CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$651,261CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$215,356CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$572CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$436,477 (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.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,022CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components97CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days101.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days455.62CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days361.05CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 74912, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended October 31, 1998

Cost report for November 1, 1997 to October 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on January 24, 2002.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$3,890,144CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,222,491CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$332,347CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$208,766CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$7,235CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$130,816 (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.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,738CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components104CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days899.14CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days334.02CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 74911, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended October 31, 1997

Cost report for November 1, 1996 to October 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 21, 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$3,272,348CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,512,007CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$239,659CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$262,809CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $23,150 (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.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,675CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components66CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.61CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days2,206.64CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days510.23CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 7619, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended October 31, 1996

Cost report for November 1, 1995 to October 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on August 12, 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$2,991,752CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,125,059CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$133,307CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$191,061CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $57,754 (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.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,724CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components44CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days3,084.44CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days811.91CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 7617, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
AGVA LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 01/09/2015
ASPEN SKILLED HEALTHCARE INC5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 02/09/2022
WHITE OAK HEALTHCARE FINANCE LLC5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 02/09/2022
AGVA LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/19/2016
ASPEN SKILLED HEALTHCARE INCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/09/2022
BRADSHAW, JEFFREYADP OF THE SNFIndividualNOT APPLICABLEsince 02/09/2022
BRADY, VERNADP OF THE SNFIndividualNOT APPLICABLEsince 02/09/2022
CASE, RYANADP OF THE SNFIndividualNOT APPLICABLEsince 02/09/2022
CASLMON, TIMOTHYADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
CGVA, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/09/2022
DAVOUDIAN, SOHAILADP OF THE SNFIndividualNOT APPLICABLEsince 03/01/2024
JACARANDA HEALTHCARE GROUP LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2023
JURADO, FRANKADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
PAXMAN, MARCUSADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
PUNZALAN, IMELDAADP OF THE SNFIndividualNOT APPLICABLEsince 08/18/2022
THOMPSON, STEPHENADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
VARLEY, JASONADP OF THE SNFIndividualNOT APPLICABLEsince 06/26/2024
WHITE OAK HEALTHCARE FINANCE LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/19/2016
ASPEN SKILLED HEALTHCARE INCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/19/2016
BRADSHAW, PETERINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 07/07/2023
ELSNER, ERICINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 05/19/2016
JACARANDA HEALTHCARE GROUP LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 01/01/2023
KIRKWOOD, JAREDINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2019
ORGILL, CRAIGINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2019
PARTI, RAJESHINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 05/19/2016
PARTI, SHRUTYINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 05/19/2016
PAXMAN, MARCUSINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 04/01/2022
CASLMON, TIMOTHYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2023
THOMPSON, STEPHENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2023
AGVA LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/19/2016
CASLMON, TIMOTHYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2023
DAVOUDIAN, SOHAILOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2024
PUNZALAN, IMELDAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/18/2022
THOMPSON, STEPHENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2023
VARLEY, JASONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/26/2024

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of AGVA LLC (enrollment ID O20160121000759).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
AGVA LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/9/2015
Private equity company: No
Real estate investment trust: No
Holding company: No
JEFFREY J BRADSHAWIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST22.251/9/2015
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RYAN M CASEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST31.774/23/2015
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
VERN J BRADYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST31.951/9/2015
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ASPEN SKILLED HEALTHCARE INCOrganization5% OR GREATER MORTGAGE INTEREST3.232/9/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
WHITE OAK HEALTHCARE FINANCE LLCOrganization5% OR GREATER MORTGAGE INTEREST3.232/9/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
AGVA LLCOrganizationADP OF THE SNFNot stated in the filing5/19/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
ASPEN SKILLED HEALTHCARE INCOrganizationADP OF THE SNFNot stated in the filing2/9/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
CGVA, LLCOrganizationADP OF THE SNFNot stated in the filing2/9/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
FRANK JURADOIndividualADP OF THE SNFNot stated in the filing1/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
IMELDA PUNZALANIndividualADP OF THE SNFNot stated in the filing8/18/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JACARANDA HEALTHCARE GROUP LLCOrganizationADP OF THE SNFNot stated in the filing1/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
JASON VARLEYIndividualADP OF THE SNFNot stated in the filing6/26/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFFREY J BRADSHAWIndividualADP OF THE SNFNot stated in the filing2/9/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARCUS J PAXMANIndividualADP OF THE SNFNot stated in the filing1/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RYAN M CASEIndividualADP OF THE SNFNot stated in the filing2/9/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SOHAIL DAVOUDIANIndividualADP OF THE SNFNot stated in the filing3/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHEN THOMPSONIndividualADP OF THE SNFNot stated in the filing1/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TIMOTHY CASLMONIndividualADP OF THE SNFNot stated in the filing1/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
VERN J BRADYIndividualADP OF THE SNFNot stated in the filing2/9/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WHITE OAK HEALTHCARE FINANCE LLCOrganizationADP OF THE SNFNot stated in the filing5/19/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing5/19/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
ASPEN SKILLED HEALTHCARE INCOrganizationINDIRECT OWNERSHIP INTEREST1005/19/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
CRAIG ORGILLIndividualINDIRECT OWNERSHIP INTEREST1.31/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ERIC ELSNERIndividualINDIRECT OWNERSHIP INTEREST4.085/19/2016
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JACARANDA HEALTHCARE GROUP LLCOrganizationINDIRECT OWNERSHIP INTEREST1001/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
JARED KIRKWOODIndividualINDIRECT OWNERSHIP INTEREST0.31/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARCUS J PAXMANIndividualINDIRECT OWNERSHIP INTEREST0.014/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PETER BRADSHAWIndividualINDIRECT OWNERSHIP INTEREST0.097/7/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RAJESH PARTIIndividualINDIRECT OWNERSHIP INTEREST4.085/19/2016
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHRUTY PARTIIndividualINDIRECT OWNERSHIP INTEREST4.085/19/2016
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHEN THOMPSONIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TIMOTHY CASLMONIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AGVA LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing5/19/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
IMELDA PUNZALANIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/18/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JASON VARLEYIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/26/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SOHAIL DAVOUDIANIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing3/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHEN THOMPSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TIMOTHY CASLMONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1January 23, 2026January 23, 2026181
2January 13, 2025January 13, 2025231
3December 29, 2023December 29, 2023257

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

66 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
July 31, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has no plan of correction
July 7, 2026HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DYesDeficient, Provider has plan of correctionJuly 24, 2026
July 7, 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has plan of correctionJuly 24, 2026
March 11, 2026HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correctionMarch 27, 2026
January 23, 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DNoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DNoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0711Nursing and Physician Services DeficienciesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DNoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.DNoDeficient, Provider has date of correctionFebruary 13, 2026
January 23, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionFebruary 13, 2026
August 29, 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DYesDeficient, Provider has date of correctionSeptember 15, 2025
July 31, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionAugust 11, 2025
July 15, 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correctionAugust 6, 2025
May 16, 2025HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.EYesDeficient, Provider has date of correctionJune 9, 2025
February 7, 2025HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EYesDeficient, Provider has date of correctionFebruary 23, 2025
February 7, 2025HealthF 0712Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.DYesDeficient, Provider has date of correctionFebruary 23, 2025
January 13, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correctionFebruary 2, 2025
January 13, 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionFebruary 2, 2025
January 13, 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionFebruary 2, 2025
January 13, 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionFebruary 2, 2025
January 13, 2025HealthF 0711Nursing and Physician Services DeficienciesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DNoDeficient, Provider has date of correctionFebruary 2, 2025
January 13, 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correctionFebruary 2, 2025
January 13, 2025HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correctionFebruary 2, 2025
January 13, 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correctionFebruary 2, 2025
January 13, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionFebruary 2, 2025
January 13, 2025HealthF 0790Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.DNoDeficient, Provider has date of correctionFebruary 2, 2025
January 13, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionFebruary 2, 2025
December 16, 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correctionJanuary 3, 2025
December 16, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionJanuary 3, 2025
December 16, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionJanuary 3, 2025
December 16, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionJanuary 3, 2025
September 19, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correctionOctober 11, 2024
September 19, 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionOctober 11, 2024
July 31, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionAugust 20, 2024
July 10, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionAugust 3, 2024
July 10, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionAugust 3, 2024
July 10, 2024HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DYesDeficient, Provider has date of correctionAugust 3, 2024
July 10, 2024HealthF 0773Administration DeficienciesProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DYesDeficient, Provider has date of correctionAugust 3, 2024
May 14, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionJune 13, 2024
May 14, 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionJune 13, 2024
May 10, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionJune 3, 2024
May 10, 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionJune 3, 2024
May 10, 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EYesDeficient, Provider has date of correctionJune 3, 2024
January 30, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionFebruary 28, 2024
January 30, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionFebruary 28, 2024
January 12, 2024HealthF 0624Resident Rights DeficienciesPrepare residents for a safe transfer or discharge from the nursing home.DYesDeficient, Provider has date of correctionFebruary 8, 2024
January 12, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionFebruary 8, 2024
December 29, 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionJanuary 27, 2024
December 29, 2023HealthF 0578Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correctionJanuary 27, 2024
December 29, 2023HealthF 0646Resident Assessment and Care Planning DeficienciesNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.DNoDeficient, Provider has date of correctionJanuary 27, 2024
December 29, 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionJanuary 27, 2024
December 29, 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionJanuary 27, 2024
December 29, 2023HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correctionJanuary 27, 2024
December 29, 2023HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correctionJanuary 27, 2024
December 29, 2023HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionJanuary 27, 2024
December 29, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoPast Non-ComplianceJanuary 27, 2024
December 29, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionJanuary 27, 2024
November 9, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionDecember 9, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
September 19, 2024Fine$17,088130898

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameAGVA LLC
Date First Approved to Provide Medicare and Medicaid Services1988-03-17
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishLos Angeles
Telephone Number3105320700
Chain NameASPEN SKILLED HEALTHCARE
Chain ID50
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds98
Average Number of Residents per Day93.7
Overall Rating2
Health Inspection Rating2
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating4
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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One email a day naming what moved on KEI-AI SOUTH BAY HEALTHCARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.

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On July 31, 2026: A deficiency was cited under tag F 0689, scope and severity D. That is one line of the alert.

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