Skilled nursing facility · CMS certification number 555476
Apple Valley Care Center
Apple Valley, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 99
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,021.00 · Payment denials: 0. The most recent penalty on file: January 17, 2024, Fine, $8,021. 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 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,596,753 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $489,682 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,107,071 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,347,144 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,759,927 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,278 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,787,205 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,602,564 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 36,234 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 10,718 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 186 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 22,002 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 32,906 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 291 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 366 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 692 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 5.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438293, 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 May 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,848,011 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $986,970 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,861,041 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,657,534 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,203,507 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $424,855 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,628,362 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,788,154 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,131 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 636 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1424797, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 6, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,727,318 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$883,074 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,610,392 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,929,395 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,680,997 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,021 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,693,018 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $947,477 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,145 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 566 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 175.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394046, 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 November 16, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,734,418 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$671,804 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,406,222 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,473,089 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $933,133 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,736,632 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,669,765 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,918,990 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,449 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 578 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 159.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1368134, 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 October 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,147,588 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,046,270 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,193,858 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,799,154 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,394,704 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $132,484 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,527,188 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,848,462 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,564 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 301 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 94.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302125, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for July 1, 2019 to September 30, 2019 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on April 14, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,374,003 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $603,256 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,770,747 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,561,360 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $209,387 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $445,700 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $655,087 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $655,087 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,899 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 238 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 277.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 33.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282054, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,853,197 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $283,300 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,569,897 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,577,556 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,007,659 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,397 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,005,262 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,005,262 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,087 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 945 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 31.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244082, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,216,584 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,709,444 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,926,028 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,364,307 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $561,721 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,555 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $592,276 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $592,276 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,421 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 904 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 251.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 34.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179539, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 14, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,481,029 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,634,677 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,115,706 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,794,103 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,321,603 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $169,001 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,490,604 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,455,712 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,800 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 683 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152801, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,775,385 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $557,724 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,217,661 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,767,455 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$549,794 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $50,505 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$499,289 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$500,089 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,800 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 650 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 272.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119329, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 11, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,063,861 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,772,118 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,291,743 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,684,818 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$393,075 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$393,075 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,424,359 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,607 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 682 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 41.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1086955, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 31, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,623,866 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,679,385 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,944,481 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,466,474 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$521,993 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$521,993 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$809,727 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,143 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 351 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 85.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055052, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 31, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,045,676 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,270,169 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,775,507 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,692,145 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $83,362 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $83,362 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$373,702 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,374 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 595 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 54.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024401, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,979,371 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,343,749 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $635,622 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $210,810 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $424,812 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,032 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 587 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 56.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422924, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 1, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,107,028 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,551,337 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $555,691 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $85,937 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $641,628 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,209 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 557 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 367.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 57.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 414211, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 16, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,729,967 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,213,866 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $516,101 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $104,497 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $620,598 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,534 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 442 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 182.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361121, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 5, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,712,032 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,401,392 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $310,640 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $174,806 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $485,446 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,132 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 593 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 223.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 55.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333217, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,836,235 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,806,985 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $29,250 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $457,363 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $486,613 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,089 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 607 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 139.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 54.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300498, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 30, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,036,234 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,210,974 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$174,740 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $80,653 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$94,087 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,542 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 584 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 246 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 57.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 276135, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 6, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,794,428 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,475,221 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$680,793 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $140,091 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$540,702 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,636 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 419 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 589.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 77.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244385, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 21, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,830,709 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,360,220 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$529,511 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $128,086 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$401,425 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,031 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 558 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 616.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 60.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205149, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 15, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,275,925 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,288,541 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,012,616 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $185,332 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$827,284 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,115 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 419 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 748.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 79.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 207575, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — 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 | $5,566,706 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,735,279 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$168,573 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,500 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$110,073 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,729 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 264 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 180.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 192564, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,692,899 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,731,730 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,038,831 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,250 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$998,581 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,786 | 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 | 20.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 94.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 139224, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 12, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,910,126 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,902,804 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$992,678 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $341,473 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,747 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$664,952 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,502 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 314 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 686.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98352, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 10, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,111,933 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,591,445 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$479,512 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $133,940 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,419 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$352,991 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,964 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 370 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 553 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98350, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 20, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,355,756 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,646,293 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$290,537 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $118,786 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$171,751 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,912 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 527 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 514.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 64.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98348, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for July 1, 1996 to June 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 11, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,425,420 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,608,751 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$183,331 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $92,249 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $22,500 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$113,582 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,775 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 512 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 401.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 65.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98347, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended June 30, 1996
Cost report for July 1, 1995 to June 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 31, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,376,626 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,653,834 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$277,208 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $89,789 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$35,983 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$151,436 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,765 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 517 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 493.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 63.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98345, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| LEHMANN, KENNETH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 28% | since 10/01/2019 |
| 11959 APPLE VALLEY ROAD, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/26/2013 |
| ABAK CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/27/2021 |
| BAK, ABRAHAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/26/2013 |
| ESCOBAR, JAY ANNE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/08/2025 |
| GASTWIRTH, MENACHEM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/26/2013 |
| GEWIRTZ, CHONOCH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/13/2020 |
| LEHMANN, KENNETH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/13/2020 |
| MAYER 2005 REVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2014 |
| MAYER, HELENE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/26/2013 |
| MAYER, RONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/26/2013 |
| MGAZ CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/27/2021 |
| SIDDIQUI, IMRAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/13/2020 |
| BAK, ABRAHAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/13/2020 |
| ESCOBAR, JAY ANNE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/09/2015 |
| GASTWIRTH, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/13/2020 |
| LEHMANN, KENNETH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/13/2020 |
| SIDDIQUI, IMRAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/13/2020 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of JESS RANCH HEALTHCARE, LLC (enrollment ID O20191118001954).
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 |
|---|---|---|---|---|---|
| ABRAHAM BAK | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 27.5 | 10/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHONOCH GEWIRTZ | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AARON MAYER DATED DECEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2.1 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO ABRAHAM MAYER DATED DEC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2.1 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AKIVA MAYER DATED DECEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2.1 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AVIVA MAYER DATED DECEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2.1 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO TALIA MAYER DATED DECEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2.1 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO ZACHARY MAYER DATED DEC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| KENNETH LEHMANN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 27.5 | 10/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MENACHEM GASTWIRTH | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 27.5 | 10/10/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HELENE G MAYER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12.5 | 10/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 11959 APPLE VALLEY ROAD, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/26/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| ABAK CONSULTING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/27/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| ABRAHAM BAK | Individual | ADP OF THE SNF | Not stated in the filing | 9/26/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHONOCH GEWIRTZ | Individual | ADP OF THE SNF | Not stated in the filing | 5/13/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HELENE G MAYER | Individual | ADP OF THE SNF | Not stated in the filing | 9/26/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IMRAN SIDDIQUI | Individual | ADP OF THE SNF | Not stated in the filing | 5/13/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAY ANNE ESCOBAR | Individual | ADP OF THE SNF | Not stated in the filing | 4/8/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KENNETH LEHMANN | Individual | ADP OF THE SNF | Not stated in the filing | 5/13/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAYER 2005 REVOCABLE TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 7/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM GASTWIRTH | Individual | ADP OF THE SNF | Not stated in the filing | 9/26/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MGAZ CONSULTING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/27/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD J MAYER | Individual | ADP OF THE SNF | Not stated in the filing | 9/26/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ABRAHAM BAK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/13/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IMRAN SIDDIQUI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/13/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAY ANNE ESCOBAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 3/9/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KENNETH LEHMANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/13/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MENACHEM GASTWIRTH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/13/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 1, 2025: HELENE G MAYER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AARON MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AKIVA MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO ZACHARY MAYER DATED DEC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO ABRAHAM MAYER DATED DEC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AVIVA MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO TALIA MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MENACHEM GASTWIRTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 26, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MENACHEM GASTWIRTH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: IMRAN M SIDDIQUI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: IMRAN M SIDDIQUI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE G MAYER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 26, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ABAK CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MAYER 2005 REVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ABRAHAM BAK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 26, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ABRAHAM BAK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KENNETH LEHMANN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KENNETH LEHMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: 11959 APPLE VALLEY ROAD, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 26, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RONALD J MAYER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 26, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JAY ANNE ESCOBAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MGAZ CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CHONOCH GEWIRTZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
Recent changes on this record
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 1, 2025: HELENE G MAYER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AARON MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AKIVA MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO ZACHARY MAYER DATED DEC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO ABRAHAM MAYER DATED DEC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AVIVA MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO TALIA MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MENACHEM GASTWIRTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 26, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MENACHEM GASTWIRTH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: IMRAN M SIDDIQUI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: IMRAN M SIDDIQUI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HELENE G MAYER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 26, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ABAK CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MAYER 2005 REVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ABRAHAM BAK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 26, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ABRAHAM BAK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KENNETH LEHMANN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KENNETH LEHMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: 11959 APPLE VALLEY ROAD, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 26, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RONALD J MAYER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 26, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JAY ANNE ESCOBAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MGAZ CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CHONOCH GEWIRTZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since May 13, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- May 30, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 6, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- November 16, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- October 20, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 14, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- December 23, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2020.zip
- November 10, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- October 16, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- December 7, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- February 14, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- February 22, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- March 11, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- January 31, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- January 31, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- January 18, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- August 1, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 18, 2025 | December 18, 2025 | 4 | 11 |
| 2 | October 17, 2024 | October 17, 2024 | 6 | 4 |
| 3 | January 10, 2022 | January 10, 2022 | 13 | 13 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 12, 2026 | Health | F 0675 | Quality of Life and Care Deficiencies | Honor each resident's preferences, choices, values and beliefs. | D | Yes | Deficient, Provider has date of correction | March 30, 2026 |
| January 21, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | January 30, 2026 |
| December 18, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | January 16, 2026 |
| November 18, 2025 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | December 1, 2025 |
| June 9, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | June 19, 2025 |
| January 30, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | February 14, 2025 |
| October 17, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | F | No | Deficient, Provider has date of correction | November 15, 2024 |
| October 17, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | November 15, 2024 |
| October 17, 2024 | 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 | November 15, 2024 |
| October 17, 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 | November 15, 2024 |
| June 28, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| February 26, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | March 7, 2024 |
| February 26, 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. | E | Yes | Deficient, Provider has date of correction | March 7, 2024 |
| October 12, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | October 27, 2023 |
| January 10, 2022 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | January 27, 2022 |
| January 10, 2022 | 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 | January 27, 2022 |
| January 10, 2022 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | January 27, 2022 |
| January 10, 2022 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | No | Deficient, Provider has date of correction | January 27, 2022 |
| January 10, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | January 27, 2022 |
| January 10, 2022 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | January 27, 2022 |
| January 10, 2022 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | January 27, 2022 |
| January 10, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | January 27, 2022 |
| January 10, 2022 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | F | No | Deficient, Provider has date of correction | January 27, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 17, 2024 | Fine | $8,021 | 130526 |
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 - Limited Liability company |
| Legal Business Name | JESS RANCH HEALTHCARE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-09-26 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | San Bernardino |
| Telephone Number | 7602405051 |
| Chain Name | ABRAHAM BAK & MENACHEM GASTWIRTH |
| Chain ID | 4 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 99 |
| Average Number of Residents per Day | 92.1 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| 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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