Skilled nursing facility · CMS certification number 555519
THE CARE CENTER ON HAZELTINE, LLC
VAN NUYS, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 58
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: 4 · Fines: 2 · Fines, total amount: $72,521.00 · Payment denials: 2. The most recent penalty on file: November 7, 2024, Fine, $47,754. 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, as submitted, processed by CMS on June 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,527,071 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,358,256 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,885,327 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,774,879 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $110,448 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $157,237 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $267,685 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $267,685 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,228 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,491 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,438 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,363 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,292 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 63 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 59 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 210.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 154.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1429147, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 25, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,754,474 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$433,156 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,187,630 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,192,359 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,729 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $195,454 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $190,725 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $190,725 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,863 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 102.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 227.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 187.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395942, 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 August 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,912,422 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,007,189 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,919,611 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,966,963 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $952,648 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $144,781 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,097,429 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,097,429 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,838 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 108.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 182.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362057, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,886,949 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $419,526 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,467,423 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,596,855 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$129,432 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $330,194 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $200,762 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $200,762 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,924 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 84.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332329, 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 30, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,434,293 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $401,489 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,032,804 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,112,039 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$79,235 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $383,679 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $304,444 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $304,444 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,812 | 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 | 77.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 386.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 193.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301738, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for May 1, 2019 to December 31, 2019 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 14, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,203,447 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $645,974 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,557,473 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,206,323 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$648,850 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $48,088 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$600,762 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$600,762 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,180 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 90.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 232.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 191.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1270984, 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 May 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,985,661 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $524,723 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,460,938 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,992,661 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$531,723 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $136,354 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$395,369 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$395,366 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,375 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,189.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 496.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1224718, 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 June 12, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,791,517 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $163,290 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,628,227 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,368,960 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,740,733 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,497 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,736,236 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,736,242 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,825 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 360.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 229.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1192943, 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 June 22, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,283,563 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $483,716 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,799,847 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,853,031 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$53,184 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$43,827 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$97,011 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$97,013 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,015 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,124 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 274.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1164868, 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 June 24, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,147,432 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $262,917 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,884,515 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,603,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $280,548 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,848 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $282,396 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $282,397 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,859 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 103 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 529.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 192.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1132294, 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 June 17, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,574,560 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $188,417 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,386,143 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,319,506 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $66,637 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,153 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $67,790 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $67,792 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,043 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,359.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 263.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1097768, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,364,536 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $169,483 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,195,053 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,113,069 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $81,984 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,006 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $82,990 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $82,989 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,373 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 697.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 245.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073549, 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 July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,392,010 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $133,283 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,258,727 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,061,009 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $197,718 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,057 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $199,775 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $199,773 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,134 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,041.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 254.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071591, 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 November 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,709,885 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $345,830 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,364,055 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,993,721 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$629,666 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,967 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$624,699 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$624,699 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,619 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 87.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 97.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1020883, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,435,299 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,944,254 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$508,955 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,908 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$2 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$504,045 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,921 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 4,034.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 368.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 410702, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,608,204 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,785,612 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$177,408 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,619 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$169,788 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,318 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 437.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 213.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 380246, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,966,862 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,764,877 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $201,985 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,789 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $210,775 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,615 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 34 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 118.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,214.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 606.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 348698, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 8, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,513,687 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,480,181 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $33,506 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,814 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $40,320 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,568 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 44 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 79.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 15,770 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 467.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 329664, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 22, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,517,157 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,325,288 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $191,869 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,401 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $219,264 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,642 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,393 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 278.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 294976, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 11, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,758,267 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,401,059 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $357,208 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,778 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $384,987 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,747 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 38 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 166.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,222.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 545.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270023, 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 February 24, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,362,255 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,198,837 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $163,418 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,338 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $198,755 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,965 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 115.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,133.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 436.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243635, 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 April 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,087,003 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,046,213 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $40,790 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,323 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $57,113 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,543 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 103 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,043.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 199.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214226, 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 December 31, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,833,871 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,920,386 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$86,515 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,513 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$50,002 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,801 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 200.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 130.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 166294, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for December 1, 2000 to December 31, 2001 — a reporting period of 395 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,021,699 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,657,989 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $363,710 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,790 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $384,500 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,182 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 68 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,286.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 326.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141200, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended November 30, 2000
Cost report for January 1, 2000 to November 30, 2000 — a reporting period of 334 days, on form CMS-2540-96, settled, processed by CMS on September 29, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,152,605 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,037,606 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $114,999 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,183 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $120,182 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,717 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 59 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 95.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 334.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 196428, 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 May 9, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,238,583 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,182,940 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $55,643 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,239 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $83,882 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,127 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 245.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98469, 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 May 19, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,897,446 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,708,988 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $188,458 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,596 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $194,054 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,149 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 141 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 268.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 142.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98467, 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, processed by CMS on October 1, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,895,029 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,668,404 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $226,625 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,302 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $247,927 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,680 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 182.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98465, 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 |
|---|---|---|---|---|
| ABBY GL LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 92% | since 03/07/2019 |
| ELLIE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 6% | since 02/21/2019 |
| CRUZ, JULIO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 6% | since 02/21/2019 |
| LYNCH, JOSE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 92% | since 02/21/2019 |
| ERETZ VAN NUYS PROPERTIES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/07/2019 |
| MICHAIL, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/27/2025 |
| PURSUE HEALTH LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/24/2025 |
| VALENCIA, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/27/2025 |
| SIMS, JAMES | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/21/2019 |
| LYNCH, JOSE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/21/2019 |
| MICHAIL, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2020 |
| PURSUE HEALTH LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2021 |
| VALENCIA, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/20/2020 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THE CARE CENTER ON HAZELTINE, LLC (enrollment ID O20190430000004).
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 |
|---|---|---|---|---|---|
| ABBY GL LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 92 | 3/7/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELLIE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6 | 2/21/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOSE C LYNCH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 92 | 2/21/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIO C CRUZ | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6 | 2/21/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERETZ VAN NUYS PROPERTIES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/7/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES ANTHONY MICHAIL | Individual | ADP OF THE SNF | Not stated in the filing | 3/27/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN NELSON VALENCIA | Individual | ADP OF THE SNF | Not stated in the filing | 3/27/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PURSUE HEALTH LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/24/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES E SIMS | Individual | DIRECT OWNERSHIP INTEREST | 2 | 2/21/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES ANTHONY MICHAIL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN NELSON VALENCIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/20/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSE C LYNCH | Individual | OPERATIONAL/MANAGERIAL CONTROL | 92 | 2/21/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PURSUE HEALTH LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- November 1, 2025: JAMES ANTHONY MICHAIL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JAMES E SIMS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOHN NELSON VALENCIA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JULIO C CRUZ no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JAMES ANTHONY MICHAIL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JAMES ANTHONY MICHAIL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 15, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PURSUE HEALTH LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PURSUE HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JAMES E SIMS (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOHN NELSON VALENCIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOHN NELSON VALENCIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since November 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JULIO C CRUZ (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERETZ VAN NUYS PROPERTIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 7, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- July 1, 2024: JAMES ANTHONY MICHAIL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 15, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JOHN NELSON VALENCIA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
Recent changes on this record
- November 1, 2025: JAMES ANTHONY MICHAIL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JAMES E SIMS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOHN NELSON VALENCIA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JULIO C CRUZ no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JAMES ANTHONY MICHAIL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JAMES ANTHONY MICHAIL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 15, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PURSUE HEALTH LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PURSUE HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JAMES E SIMS (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOHN NELSON VALENCIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOHN NELSON VALENCIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since November 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JULIO C CRUZ (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERETZ VAN NUYS PROPERTIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 7, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- June 10, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 25, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 1, 2024: JAMES ANTHONY MICHAIL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 15, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JOHN NELSON VALENCIA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- August 11, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 30, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- October 14, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- May 6, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- May 17, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- June 12, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- June 22, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- June 24, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- June 17, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 24, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 23, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- November 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- July 19, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- July 14, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- July 14, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- December 8, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- October 22, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- January 11, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- February 24, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- April 18, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- September 29, 2004: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- December 31, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 18, 2025 | December 18, 2025 | 8 | 4 |
| 2 | November 7, 2024 | November 7, 2024 | 12 | 4 |
| 3 | November 19, 2023 | November 19, 2023 | 14 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
35 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| December 18, 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | January 15, 2026 |
| December 18, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | January 15, 2026 |
| December 18, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | January 15, 2026 |
| December 18, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | January 15, 2026 |
| December 18, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | January 15, 2026 |
| December 18, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | January 15, 2026 |
| December 18, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | January 15, 2026 |
| December 18, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | January 15, 2026 |
| November 19, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | December 9, 2024 |
| November 7, 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. | G | Yes | Deficient, Provider has date of correction | December 1, 2024 |
| November 7, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | December 1, 2024 |
| November 7, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | December 27, 2024 |
| November 7, 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | December 1, 2024 |
| November 7, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | December 1, 2024 |
| November 7, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | No | Deficient, Provider has date of correction | December 1, 2024 |
| November 7, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | December 1, 2024 |
| November 7, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | December 1, 2024 |
| November 7, 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | No | Deficient, Provider has date of correction | December 1, 2024 |
| November 7, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | December 1, 2024 |
| November 7, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | December 27, 2024 |
| March 22, 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. | G | Yes | Deficient, Provider has date of correction | April 21, 2024 |
| January 10, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | February 6, 2024 |
| November 19, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | December 18, 2023 |
| November 19, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | December 18, 2023 |
| November 19, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | December 18, 2023 |
| November 19, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | December 18, 2023 |
| November 19, 2023 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | December 18, 2023 |
| November 19, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | December 18, 2023 |
| November 19, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | December 18, 2023 |
| November 19, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | No | Deficient, Provider has date of correction | December 18, 2023 |
| November 19, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | December 18, 2023 |
| November 19, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | December 18, 2023 |
| November 19, 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | December 18, 2023 |
| November 19, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | December 18, 2023 |
| August 7, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Yes | Deficient, Provider has date of correction | September 6, 2023 |
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 |
|---|---|---|---|---|---|
| November 7, 2024 | Fine | $47,754 | 131207 | ||
| November 7, 2024 | Payment Denial | December 7, 2024 | 20 | ||
| March 22, 2024 | Fine | $24,767 | 130847 | ||
| March 22, 2024 | Payment Denial | April 20, 2024 | 1 |
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 | THE CARE CENTER ON HAZELTINE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-09-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 8189971841 |
| 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 | 58 |
| Average Number of Residents per Day | 48.3 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on THE CARE CENTER ON HAZELTINE, LLC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On June 10, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for THE CARE CENTER ON HAZELTINE, LLC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 555519.