Skilled nursing facility · CMS certification number 555329
LA PALMA NURSING CENTER
ANAHEIM, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 72
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 November 19, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,734,838 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$756,842 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,491,680 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,198,962 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,292,718 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $169,405 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,462,123 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,356,146 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 26,352 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,903 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 718 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 16,188 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 23,809 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 150 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 50 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 22 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 222 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 14.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442662, 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 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,927,781 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$970,936 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,898,717 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,342,398 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $556,319 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $269,389 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $825,708 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $736,133 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,020 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 255 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 131.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 86.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438988, 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 April 26, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,994,141 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,447,817 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,441,958 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,746,072 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $695,886 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $219,674 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $915,560 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $850,560 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,020 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 299 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 131.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376908, 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 25, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,369,970 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$831,567 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,201,537 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,811,234 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $390,303 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,436,402 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,826,705 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,826,705 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,705 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 330 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 120.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365391, 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 February 13, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,394,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,201,834 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,596,708 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,991,206 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $605,502 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $275,282 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $880,784 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $880,784 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,816 | 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 | 49.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 112.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342334, 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 November 23, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,604,090 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $50,769 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,553,321 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,550,277 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,044 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $138,593 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $141,637 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $141,637 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,173 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 262 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 522.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274269, 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 September 24, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,538,942 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$329,105 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,868,047 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,897,598 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$29,551 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $110,395 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $80,844 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $80,844 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,678 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 226 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 359.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1269596, 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 November 4, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,616,805 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $156,065 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,460,740 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,435,413 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $25,327 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $83,830 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $109,157 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $104,857 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,886 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 278 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 269.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1245217, 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 July 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,258,747 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$52,518 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,311,265 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,016,752 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $294,513 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $92,709 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $387,222 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $387,222 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,377 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 241 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 288.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169024, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,390,687 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $223,890 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,166,797 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,025,339 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $141,458 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $89,806 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $231,264 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $231,264 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,276 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 264 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 359.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1136473, 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 July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,020,051 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $740,643 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,279,408 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,584,947 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$305,539 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $91,963 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$213,576 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$213,576 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,088 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 341 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 122.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103825, 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 September 9, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,975,667 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $674,766 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,300,901 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,322,859 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$21,958 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $731 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$21,227 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$21,227 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,673 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 329 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 190.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077669, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,235,076 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $529,524 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,705,552 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,158,775 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $546,777 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,108 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $551,885 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $551,885 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,151 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 350 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 214.99 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044926, 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 February 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,246,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $207,917 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,038,957 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,886,768 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,152,189 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $277 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,152,466 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,152,466 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,086 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 239 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024908, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,592,935 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,534,458 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $58,477 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $83,054 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $141,531 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,848 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 246.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 105.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415720, 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 July 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,247,226 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,174,339 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $72,887 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $120,176 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $193,063 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,215 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 186.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 95.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 383822, 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 17, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,134,414 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,038,346 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $96,068 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,484 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,936 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $96,616 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,116 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 199 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,216.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354833, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 6, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,547,783 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,412,921 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $134,862 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,184 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $142,046 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,335 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323123, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,316,834 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,186,980 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $129,854 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $149 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $130,003 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,963 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 486 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 127.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 47.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306295, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 19, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,224,298 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,129,610 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $94,688 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $992 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,019 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $86,661 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,503 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 309 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 209.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 76.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270770, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for August 1, 2004 to December 31, 2004 — a reporting period of 152 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 27, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,667,729 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,606,775 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $60,954 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $422 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $61,376 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,230 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 341.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 96.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 248125, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,910,993 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,871,129 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $39,864 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,444 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $50,308 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,038 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 290 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 312.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 86.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191996, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 15, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,088,674 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,010,642 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $78,032 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $57,508 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $135,540 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,139 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 997.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 210967, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 11, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,901,347 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,779,803 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $121,544 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,155 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $193,699 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,975 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 485 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 224.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 51.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175955, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 15, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,649,278 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,348,413 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $300,865 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,949 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $349,814 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,093 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 475 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 210.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 52.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97874, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 3, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,882,716 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,872,631 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $10,085 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,378 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $55,463 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,326 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 319 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 366.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 76.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97872, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,212,620 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,962,315 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $250,305 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,886 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $305,191 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,621 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 347 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 203.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97870, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 24, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,217,290 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,126,630 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $90,660 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $55,134 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $145,794 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,923 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 307 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 313.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 81.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97868, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 17, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,530,815 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,093,077 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $437,738 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,916 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $473,654 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,635 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 86.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 368.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 220.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97867, 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 |
|---|---|---|---|---|
| CASTRO-GARCIA, MARIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/06/2019 |
| CORTEZ, LIZETTE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/02/2004 |
| GONZALEZ, DANILO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/03/2021 |
| HANSEN | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| LEE, KYUNG-MY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2024 |
| MANDELBAUM, SIMCHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2026 |
| MARTILLANO, MARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/29/2010 |
| PEREZ, GERARDO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/07/2024 |
| PHAM, JULIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2000 |
| SKILLSERVE INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| TALEBI DOLOUEI, REZA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2023 |
| TORRES, JOYLOURDES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/09/2023 |
| WILLIAMS, CLINTON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/04/2010 |
| CASTRO-GARCIA, MARIA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/06/2019 |
| MANDELBAUM, JANET | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/02/2019 |
| CASTRO-GARCIA, MARIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/06/2019 |
| MANDELBAUM, JANET | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/02/2019 |
| MANDELBAUM, BRENDA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/27/2026 |
| CASTRO-GARCIA, MARIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/06/2019 |
| CORTEZ, LIZETTE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/02/2004 |
| GONZALEZ, DANILO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/03/2021 |
| LEE, KYUNG-MY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2024 |
| MANDELBAUM, SIMCHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2026 |
| MARTILLANO, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/29/2010 |
| PEREZ, GERARDO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/07/2024 |
| PHAM, JULIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/16/2000 |
| TALEBI DOLOUEI, REZA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2023 |
| TORRES, JOYLOURDES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/09/2023 |
| WILLIAMS, CLINTON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/04/2010 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of 1130 W LA PALMA AVE INC (enrollment ID O20040202000386).
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 |
|---|---|---|---|---|---|
| SIMCHA AND JANET MANDELBAUM FAMILY TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE BENTZION MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE JANET MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLINTON WILLIAMS | Individual | ADP OF THE SNF | Not stated in the filing | 5/4/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANILO GONZALEZ | Individual | ADP OF THE SNF | Not stated in the filing | 5/3/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GERARDO PEREZ | Individual | ADP OF THE SNF | Not stated in the filing | 5/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HANSEN | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOYLOURDES TORRES | Individual | ADP OF THE SNF | Not stated in the filing | 10/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE PHAM | Individual | ADP OF THE SNF | Not stated in the filing | 3/16/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KYUNG-MY LEE | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LIZETTE CORTEZ | Individual | ADP OF THE SNF | Not stated in the filing | 2/2/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA CASTRO-GARCIA | Individual | ADP OF THE SNF | Not stated in the filing | 11/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY MARTILLANO | Individual | ADP OF THE SNF | Not stated in the filing | 11/29/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REZA TALEBI DOLOUEI | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SIMCHA MANDELBAUM | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SKILLSERVE INC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JANET MANDELBAUM | Individual | CORPORATE DIRECTOR | 50 | 1/2/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA CASTRO-GARCIA | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANET MANDELBAUM | Individual | CORPORATE OFFICER | 50 | 1/2/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA CASTRO-GARCIA | Individual | CORPORATE OFFICER | Not stated in the filing | 11/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLINTON WILLIAMS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/4/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANILO GONZALEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/3/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GERARDO PEREZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOYLOURDES TORRES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE PHAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/16/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KYUNG-MY LEE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LIZETTE CORTEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/2/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA CASTRO-GARCIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY MARTILLANO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/29/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REZA TALEBI DOLOUEI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SIMCHA MANDELBAUM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: CLINTON WILLIAMS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JANET MANDELBAUM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JULIE PHAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JANET MANDELBAUM (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 2, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARIA CASTRO-GARCIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARIA CASTRO-GARCIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SIMCHA MANDELBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SIMCHA MANDELBAUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- November 1, 2025: BRENDA MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PAULA PANGANIBAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANET MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JULIE PHAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CLINTON WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CLINTON WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CLINTON WILLIAMS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KYUNG-MY LEE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KYUNG-MY LEE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REZA TALEBI DOLOUEI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REZA TALEBI DOLOUEI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GERARDO PEREZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GERARDO PEREZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARY MARTILLANO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since November 29, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARY MARTILLANO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since November 29, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SKILLSERVE INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DANILO GONZALEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 3, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DANILO GONZALEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 3, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LIZETTE CORTEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 2, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LIZETTE CORTEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 2, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HANSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOYLOURDES TORRES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOYLOURDES TORRES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANET MANDELBAUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 2, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JULIE PHAM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JULIE PHAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- September 15, 2023: THE YITZCHOK MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: THE CHAIM MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: THE ADINA COHEN 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- July 17, 2023: SIMCHA MANDELBAUM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JANET MANDELBAUM no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JULIE PHAM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JULIE PHAM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: SIMCHA AND JANET MANDELBAUM FAMILY TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BRENDA MANDELBAUM (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 2, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- July 1, 2026: CLINTON WILLIAMS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JANET MANDELBAUM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JULIE PHAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JANET MANDELBAUM (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 2, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARIA CASTRO-GARCIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARIA CASTRO-GARCIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SIMCHA MANDELBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SIMCHA MANDELBAUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- November 19, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- November 1, 2025: BRENDA MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PAULA PANGANIBAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANET MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JULIE PHAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CLINTON WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CLINTON WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CLINTON WILLIAMS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KYUNG-MY LEE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KYUNG-MY LEE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REZA TALEBI DOLOUEI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REZA TALEBI DOLOUEI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GERARDO PEREZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GERARDO PEREZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARY MARTILLANO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since November 29, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARY MARTILLANO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since November 29, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SKILLSERVE INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DANILO GONZALEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 3, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DANILO GONZALEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 3, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LIZETTE CORTEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 2, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LIZETTE CORTEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 2, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HANSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOYLOURDES TORRES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOYLOURDES TORRES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANET MANDELBAUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 2, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JULIE PHAM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JULIE PHAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- September 11, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- April 26, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 25, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 15, 2023: THE YITZCHOK MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 15, 2025 | September 15, 2025 | 27 | 3 |
| 2 | August 29, 2024 | August 29, 2024 | 21 | 11 |
| 3 | August 4, 2021 | August 4, 2021 | 14 | 10 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
62 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 6, 2026 | 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 | Yes | Deficient, Provider has date of correction | February 24, 2026 |
| September 15, 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | 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. | B | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 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. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | B | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | B | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | B | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 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. | E | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | B | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | 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 | October 10, 2025 |
| September 15, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 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. | B | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | B | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| September 15, 2025 | Health | F 0909 | Environmental Deficiencies | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | No | Deficient, Provider has date of correction | October 10, 2025 |
| November 1, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | November 6, 2024 |
| August 29, 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 | September 25, 2024 |
| August 29, 2024 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | September 23, 2024 |
| August 29, 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 | September 23, 2024 |
| August 29, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | September 23, 2024 |
| August 29, 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 | September 23, 2024 |
| August 29, 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | September 23, 2024 |
| August 29, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | September 23, 2024 |
| August 29, 2024 | 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 | September 23, 2024 |
| August 29, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | No | Deficient, Provider has date of correction | September 24, 2024 |
| August 29, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | September 23, 2024 |
| August 29, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | September 23, 2024 |
| August 29, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | September 23, 2024 |
| August 29, 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 | September 23, 2024 |
| August 29, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | September 23, 2024 |
| August 29, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | September 23, 2024 |
| August 29, 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. | E | No | Deficient, Provider has date of correction | September 24, 2024 |
| August 29, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | No | Deficient, Provider has date of correction | September 23, 2024 |
| August 29, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | September 24, 2024 |
| August 29, 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | September 23, 2024 |
| August 29, 2024 | Health | F 0909 | Environmental Deficiencies | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | No | Deficient, Provider has date of correction | September 24, 2024 |
| October 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 | Yes | Deficient, Provider has date of correction | October 26, 2023 |
| August 4, 2021 | Health | F 0574 | Resident Rights Deficiencies | The resident has the right to receive notices in a format and a language he or she understands. | B | No | Deficient, Provider has date of correction | September 3, 2021 |
| August 4, 2021 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | September 3, 2021 |
| August 4, 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | September 3, 2021 |
| August 4, 2021 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | September 3, 2021 |
| August 4, 2021 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | September 3, 2021 |
| August 4, 2021 | 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 | September 3, 2021 |
| August 4, 2021 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | September 3, 2021 |
| August 4, 2021 | 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 | September 3, 2021 |
| August 4, 2021 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | September 3, 2021 |
| August 4, 2021 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | September 3, 2021 |
| August 4, 2021 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | September 3, 2021 |
| August 4, 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | September 3, 2021 |
| August 4, 2021 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | No | Deficient, Provider has date of correction | September 3, 2021 |
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 - Corporation |
| Legal Business Name | 1130 W LA PALMA AVE INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1988-07-06 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Orange |
| Telephone Number | 7147727480 |
| Chain Name | THE MANDELBAUM FAMILY |
| Chain ID | 798 |
| 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 | 72 |
| Average Number of Residents per Day | 61.8 |
| Overall Rating | 5 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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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 November 19, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for LA PALMA NURSING CENTER
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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- GOLDEN WINGS EXPRESS INC, HACIENDA HEIGHTS Motor carrier
- LYSTEK INTERNATIONAL, FAIRFIELD Water discharge permit
- SOCWA COASTAL TP, LAGUNA NIGUEL Water discharge permit
- CITY OF HOLLISTER INDUSTRIAL WASTEWATER TREATMENT FACILITY, HOLLISTER Water discharge permit
- CALEXICO, CITY OF, CALEXICO Water discharge permit
- US MINE CO. - IONE PLANT, IONE Air emission source
- AMPINE: A DIVISION OF TIMBER PRODUCTS COMPANY, MARTELL Air emission source
- NORTHROP GRUMMAN CORP, PALMDALE Air emission source
- LANDCASTER LANDFILL, LANCASTER Air emission source
- FRANK CLAUSEN, San Leandro Hazardous waste handler
- L3HARRIS - RANDTRON ANTENNA SYSTEMS - SMALL ANTENNA SUITE 1, San Leandro Hazardous waste handler
- SENIOR AEROSPACE / JET PRODUCTS, San Diego Hazardous waste handler
- GAGANPRIT SINGH, Fremont Hazardous waste handler
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 555329.