Skilled nursing facility · CMS certification number 555358
FRUITVALE HEALTHCARE CENTER
OAKLAND, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 140
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: 11 · Fines: 11 · Fines, total amount: $64,343.00 · Payment denials: 0. The most recent penalty on file: December 11, 2024, Fine, $8,947. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,858,416 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,438,942 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,419,474 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,619,150 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,199,676 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,615 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,192,061 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,192,061 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 51,240 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,629 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 39,111 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,514 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 46,254 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 7 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 77 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 69 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 153 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 232.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 507.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 302.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435895, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,627,092 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,593,069 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,034,023 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,419,367 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,385,344 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $349,991 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,035,353 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,035,353 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,677 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 93.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 313.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 206.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390928, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for August 1, 2022 to December 31, 2022 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,694,837 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,532,551 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,162,286 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,835,119 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,672,833 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $394,305 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,278,528 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,278,528 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,963 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 99.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 248.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 185.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398209, 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 August 9, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,228,119 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,331,273 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,896,846 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,833,953 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$937,107 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,411,836 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $474,729 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $474,729 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,117 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 236 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 113.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 271.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 186.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329333, 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 September 27, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,304,973 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,539,825 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,765,148 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,899,005 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $866,143 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $370,585 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,236,728 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,236,728 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,427 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 198 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 113.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 362.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 234.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301150, 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 October 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,216,050 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,539,861 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,676,189 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,121,121 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $555,068 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,341 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $556,409 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $556,409 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,249 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 222 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 218.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 511.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 217.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272060, 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 March 25, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,457,117 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,190,737 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,266,380 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,920,330 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$653,950 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,794 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$652,156 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$652,156 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,173 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 196 | 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 | 735.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 240.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253223, 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 September 20, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,600,658 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,949,837 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,650,821 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,556,131 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,094,690 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,321 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,098,011 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,098,006 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,088 | 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 | 64.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 366.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 192.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243710, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 16, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,915,807 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,099,825 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,815,982 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,835,795 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,980,187 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,677 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,984,864 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,984,864 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,694 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 178 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,577.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 273.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173412, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 17, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,941,995 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,601,654 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,340,341 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,015,272 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,325,069 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,644 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,330,713 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,330,713 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,218 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 493.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 177.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141687, 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 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,373,847 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,350,407 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,023,440 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,828,020 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,195,420 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $569 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,195,989 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,195,989 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,094 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 269 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 450.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 178.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105180, 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 October 27, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,742,109 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,735,047 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,007,062 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,854,074 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,152,988 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,427 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,156,415 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,156,415 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,994 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 484.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111916, 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 December 3, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,225,559 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,177,210 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,048,349 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,238,165 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,810,184 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,849 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,812,033 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,812,033 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,990 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 349 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 325.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081545, 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 October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,280,118 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,976,975 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,303,143 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,753,685 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,549,458 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,202 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,550,660 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,550,660 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,842 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 384 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 250.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1014250, 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 September 8, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,516,988 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,629,455 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,887,533 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,277 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,888,810 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,693 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 490 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 188.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 99.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 416979, 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 April 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,884,435 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,874,492 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,009,943 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,349 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,011,292 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,357 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 272 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 419.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 177.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397505, 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, reopened, processed by CMS on December 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,356,945 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,601,007 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $755,938 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,172 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $757,110 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,465 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 337 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 308.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 143.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361825, 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, reopened, processed by CMS on November 20, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,705,254 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,844,788 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $860,466 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $886 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $861,352 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,948 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 214 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 784.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 228.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359444, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for December 31, 2005 to December 31, 2006 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 4, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,879,074 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,067,460 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $811,614 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $720 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $812,334 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,794 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 255 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 698 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 338529, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 30, 2005
Cost report for January 1, 2005 to December 30, 2005 — a reporting period of 363 days, on form CMS-2540-96, settled, processed by CMS on April 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,977,107 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,907,337 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,069,770 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,698 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,071,468 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,532 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 218 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 589.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 222.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337924, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 19, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,169,372 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,312,293 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $857,079 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,935 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $863,014 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,921 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 390.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 193.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247540, 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 March 11, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,827,801 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,902,886 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $924,915 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $95,681 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,020,596 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,253 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 287 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 395.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 168.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 210694, 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 June 15, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,611,472 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,895,956 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,715,516 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$3,548,194 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,832,678 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,200 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 280 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 357.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 172.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 182276, 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, as submitted, processed by CMS on February 18, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,112,161 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,808,009 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $304,152 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$318 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $303,834 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,304 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 236 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 342.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 204.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169208, 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, as submitted, processed by CMS on September 30, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,356,602 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,909,556 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,447,046 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$6,239 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,440,807 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,312 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 429 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 192.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 112.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 196561, 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 June 25, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,350,085 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,224,723 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,125,362 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$736 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,124,626 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,535 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 420 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 193.99 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 115.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98028, 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 29, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,073,427 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,909,496 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,163,931 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $1,163,931 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,624 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 536 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 92.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98026, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for February 1, 1997 to December 31, 1997 — a reporting period of 333 days, on form CMS-2540-96, settled with audit, processed by CMS on March 18, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,778,419 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,637,325 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,141,094 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,141,165 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,533 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 492 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 90.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98024, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| GRANCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/28/2013 |
| GRUNSTEIN, EMILY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 02/06/2019 |
| MARINER HEALTH CARE, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/28/2013 |
| MHC HOLDING COMPANY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/28/2013 |
| MHC WEST HOLDING COMPANY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/28/2013 |
| NATIONAL SENIOR CARE, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/28/2013 |
| DHUGGA, GURPREET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| SARCAUGA, DENNIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/06/2025 |
| TINGZON, DAVE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/06/2023 |
| FRUITVALE HOLDING COMPANY GP, LLC | GENERAL PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/28/2013 |
| GC HOLDING COMPANY 3, LLC | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/01/2022 |
| PERSINGER, NICHOLAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/26/2024 |
| SARCAUGA, DENNIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/06/2025 |
| TINGZON, DAVE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/06/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FRUITVALE OPERATING COMPANY, LP (enrollment ID O20220831003498).
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 |
|---|---|---|---|---|---|
| EMILY GRUNSTEIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GRANCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 8/28/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARINER HEALTH CARE, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 8/28/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| MHC HOLDING COMPANY | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 8/28/2013 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| MHC WEST HOLDING COMPANY | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 8/28/2013 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| NATIONAL SENIOR CARE, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 8/28/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVE TINGZON | Individual | ADP OF THE SNF | Not stated in the filing | 3/6/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENNIS SARCAUGA | Individual | ADP OF THE SNF | Not stated in the filing | 2/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GURPREET DHUGGA | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRUITVALE HOLDING COMPANY GP, LLC | Organization | GENERAL PARTNERSHIP INTEREST | 1 | 8/28/2013 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| GC HOLDING COMPANY 3, LLC | Organization | LIMITED PARTNERSHIP INTEREST | 99 | 8/1/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| DAVE TINGZON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/6/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENNIS SARCAUGA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICHOLAS PERSINGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/26/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2026: NICHOLAS PERSINGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVE TINGZON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TYRONE E SNIPES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TYRONE E SNIPES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LINDA W TAETZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DENNIS SARCAUGA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since February 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DENNIS SARCAUGA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since February 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GURPREET DHUGGA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVE TINGZON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since March 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- January 1, 2025: CHARITO HIPOLITO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: REMY RHODES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: NICHOLAS PERSINGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: NICHOLAS PERSINGER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since March 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: DAVE TINGZON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: DAVE TINGZON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since March 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: TYRONE EMANUEL SNIPES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: TYRONE EMANUEL SNIPES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since March 10, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2023: HUNT VALLEY HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: THI OF BALTIMORE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: KAM MCGAVOCK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: KAM MCGAVOCK no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: MURRAY FORMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: CALIFORNIA LONG TERM CARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: FRUITVALE OPERATING COMPANY, LP no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: FRUITVALE HOLDING COMPANY GP, LLC (GENERAL PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: EMILY GRUNSTEIN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since February 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: MARINER HEALTH CARE, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: MHC HOLDING COMPANY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: CHARITO HIPOLITO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: NATIONAL SENIOR CARE, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: MHC WEST HOLDING COMPANY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: GC HOLDING COMPANY 3, LLC (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: REMY RHODES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: GRANCARE LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: LINDA W TAETZ (OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- July 23, 2026: A deficiency was cited under tag F 0687, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- March 1, 2026: NICHOLAS PERSINGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVE TINGZON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TYRONE E SNIPES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TYRONE E SNIPES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LINDA W TAETZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DENNIS SARCAUGA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since February 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DENNIS SARCAUGA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since February 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GURPREET DHUGGA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVE TINGZON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since March 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- January 1, 2025: CHARITO HIPOLITO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: REMY RHODES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: NICHOLAS PERSINGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: NICHOLAS PERSINGER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since March 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: DAVE TINGZON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: DAVE TINGZON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since March 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: TYRONE EMANUEL SNIPES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: TYRONE EMANUEL SNIPES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since March 10, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- October 28, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 1, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 2, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- January 1, 2023: HUNT VALLEY HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: THI OF BALTIMORE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: KAM MCGAVOCK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: KAM MCGAVOCK no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: MURRAY FORMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: CALIFORNIA LONG TERM CARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: FRUITVALE OPERATING COMPANY, LP no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: FRUITVALE HOLDING COMPANY GP, LLC (GENERAL PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: EMILY GRUNSTEIN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since February 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: MARINER HEALTH CARE, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: MHC HOLDING COMPANY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: CHARITO HIPOLITO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: NATIONAL SENIOR CARE, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: MHC WEST HOLDING COMPANY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: GC HOLDING COMPANY 3, LLC (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: REMY RHODES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: GRANCARE LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: LINDA W TAETZ (OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | October 24, 2024 | October 24, 2024 | 4 | 6 |
| 2 | December 10, 2021 | December 10, 2021 | 8 | 4 |
| 3 | March 7, 2019 | March 7, 2019 | 14 | 13 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
26 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 23, 2026 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | D | Yes | Deficient, Provider has date of correction | August 15, 2026 |
| November 17, 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | December 19, 2025 |
| May 9, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | May 29, 2025 |
| December 11, 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. | G | Yes | Deficient, Provider has date of correction | January 2, 2025 |
| October 24, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| October 24, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| August 6, 2024 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | September 2, 2024 |
| April 29, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | May 16, 2024 |
| March 8, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | March 22, 2024 |
| February 15, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | March 6, 2024 |
| December 10, 2021 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | January 10, 2022 |
| December 10, 2021 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | January 10, 2022 |
| December 10, 2021 | 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. | D | No | Deficient, Provider has date of correction | January 10, 2022 |
| December 10, 2021 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | No | Deficient, Provider has date of correction | January 10, 2022 |
| December 10, 2021 | 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 | January 10, 2022 |
| December 10, 2021 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | January 10, 2022 |
| March 7, 2019 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | April 7, 2019 |
| March 7, 2019 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | April 7, 2019 |
| March 7, 2019 | 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 | April 7, 2019 |
| March 7, 2019 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | April 7, 2019 |
| March 7, 2019 | 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 | April 7, 2019 |
| March 7, 2019 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | April 7, 2019 |
| March 7, 2019 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | April 7, 2019 |
| March 7, 2019 | Health | F 0800 | Nutrition and Dietary Deficiencies | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | No | Deficient, Provider has date of correction | April 7, 2019 |
| March 7, 2019 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | No | Deficient, Provider has date of correction | April 7, 2019 |
| March 7, 2019 | 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 | April 7, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| December 11, 2024 | Fine | $8,947 | 131055 | ||
| December 26, 2023 | Fine | $14,113 | 129585 | ||
| November 13, 2023 | Fine | $4,587 | 129354 | ||
| November 6, 2023 | Fine | $4,587 | 129295 | ||
| October 30, 2023 | Fine | $4,587 | 129217 | ||
| October 23, 2023 | Fine | $4,587 | 129142 | ||
| October 17, 2023 | Fine | $4,587 | 129113 | ||
| October 10, 2023 | Fine | $4,587 | 129059 | ||
| October 2, 2023 | Fine | $4,587 | 128969 | ||
| September 25, 2023 | Fine | $4,587 | 128897 | ||
| September 18, 2023 | Fine | $4,587 | 128836 | ||
| September 11, 2023 | Fine | $4,587 | 128777 | ||
| September 5, 2023 | Fine | $4,587 | 128700 | ||
| August 28, 2023 | Fine | $4,587 | 128633 | ||
| August 21, 2023 | Fine | $4,587 | 128571 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Partnership |
| Legal Business Name | FRUITVALE OPERATING COMPANY, LP |
| Date First Approved to Provide Medicare and Medicaid Services | 1989-04-20 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Alameda |
| Telephone Number | 5102615613 |
| Chain Name | MARINER HEALTH CARE |
| Chain ID | 334 |
| 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 | 140 |
| Average Number of Residents per Day | 134.5 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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On July 23, 2026: A deficiency was cited under tag F 0687, scope and severity D. That is one line of the alert.
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The citable document for FRUITVALE HEALTHCARE CENTER
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