Skilled nursing facility · CMS certification number 555524
HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO
CUPERTINO, California · Medicare
Certified beds, as filed in Care Compare: 48
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,370,489 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,857,172 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,513,317 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,167,446 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,654,129 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,424,533 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,229,596 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,229,596 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 48,312 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,294 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 31,478 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 35,772 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 148 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 121 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 269 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 132.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1421072, 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 July 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,109,022 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,045,561 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,063,461 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,614,224 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,550,763 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,730,576 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,820,187 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,820,188 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,508 | 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 | 39.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 324.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389245, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for July 1, 2022 to December 31, 2022 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 21, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,557,086 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,412,812 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,144,274 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,344,514 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,200,240 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,657,146 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,456,906 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,456,906 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,637 | 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 | 46.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 101.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359577, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 19, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $37,687,054 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,444,001 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $32,243,053 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $40,707,883 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,464,830 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,710,927 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,246,097 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,246,097 (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 | 448 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 182,480 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 1,154.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309070, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 3, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $34,563,997 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,686,127 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $29,877,870 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $40,153,457 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,275,587 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,649,660 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$625,927 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$625,927 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,912 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 259.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279608, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,565,823 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,037,305 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,528,518 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $38,224,688 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,696,170 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,715,674 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,019,504 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,019,504 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,831 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 226 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 158.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249270, read from the public cost report file SNF10FY2018.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 January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,644,951 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,197,467 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,447,484 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $37,133,076 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,685,592 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,873,785 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $188,193 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $188,193 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,051 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 216.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218174, 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 January 30, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,581,528 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,020,705 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,560,823 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,529,599 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,968,776 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,172,978 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,204,202 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,204,202 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,111 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 253 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 142.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183020, 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 January 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,400,819 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,707,408 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,693,411 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $33,841,724 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,148,313 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,609,730 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,461,417 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,461,417 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,465 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 213 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 171.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151313, 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 January 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,807,759 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,688,787 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,118,972 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $32,340,861 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,221,889 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,707,043 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,485,154 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,485,154 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,429 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 247 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 143.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117224, 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 February 11, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,397,941 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,453,793 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $25,944,148 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,571,724 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,627,576 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,721,565 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,906,011 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,906,011 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,399 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 145.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085710, 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 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,937,356 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,486,394 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,450,962 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $32,196,650 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$23,745,688 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,719,661 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,026,027 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,026,027 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,179 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 211 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 171.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1054150, 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 28, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,583,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,002,161 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,581,694 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,263,435 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,681,741 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,841,957 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,839,784 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,839,784 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,612 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 247 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 144.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024149, 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 December 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,265,357 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,828,323 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$562,966 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $465,042 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$97,924 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,122 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 227 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 163.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422082, 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 May 3, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,797,916 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,188,405 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$390,489 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $468,314 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $77,825 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,315 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 289 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 122.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398570, 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 February 1, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,257,695 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,407,924 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,150,229 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $716,041 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$434,188 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,368 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 227 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 155.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363368, 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 July 22, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,753,572 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,236,918 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$483,346 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,341,910 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $858,564 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,751 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 258 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 130.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 351866, 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 September 18, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,336,764 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,450,107 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$113,343 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $205,847 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $92,504 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,796 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 237 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 138.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 325956, 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 May 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,331,997 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,032,586 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$700,589 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $780,804 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $80,215 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,520 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 157.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 277105, 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 February 24, 2006.
None of these figures is carried on this report.
CMS report record 243562, 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 October 27, 2005.
None of these figures is carried on this report.
CMS report record 235642, 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 November 8, 2004.
None of these figures is carried on this report.
CMS report record 199160, 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 May 7, 2003.
None of these figures is carried on this report.
CMS report record 143654, 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 March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,838,218 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,853,354 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,015,136 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,015,137 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,698 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 173 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 154.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133753, 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 February 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,266,741 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,165,084 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,898,343 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,898,647 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $304 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,016 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 225.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 115027, 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 March 15, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,286,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,741,019 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,455,019 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,532,894 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $77,875 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,733 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 174.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15935, 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, reopened, processed by CMS on April 19, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,402,233 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,594,540 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$192,307 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $153,923 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$38,384 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,055 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 145.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15932, 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 July 8, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,956,932 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,771,886 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $185,046 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $162,574 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $347,620 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,575 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 220 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 125.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15931, 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 November 6, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,859,413 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,718,357 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $141,056 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $245,590 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $17 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $386,629 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,321 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 125.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15929, 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 |
|---|---|---|---|---|
| RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/02/1999 |
| JO, DANIEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/22/2025 |
| LIFE CARE SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/22/2025 |
| NELSON, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/22/2025 |
| RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/31/1992 |
| EXLINE, RICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| JOHNSON, EIKO | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2023 |
| BRAUMAN, SHARON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2020 |
| BROWN, KATHY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| BUSH, ELLYN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2023 |
| FISHBEIN, MARGERY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| JO, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
| KAO, NANCY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2000 |
| LIFE CARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/01/2012 |
| NELSON, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/04/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of RANCHO SAN ANTONIO RETIREMENT SERVICES, INC. (enrollment ID O20111114000671).
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 |
|---|---|---|---|---|---|
| RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/2/1999 | Private equity company: No Real estate investment trust: No Holding company: No |
| DANIEL H JO | Individual | ADP OF THE SNF | Not stated in the filing | 4/22/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LIFE CARE SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/22/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARK NELSON | Individual | ADP OF THE SNF | Not stated in the filing | 4/22/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION | Organization | ADP OF THE SNF | Not stated in the filing | 5/31/1992 | Private equity company: No Real estate investment trust: No Holding company: No |
| EIKO JOHNSON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICK EXLINE | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELLYN BUSH | Individual | CORPORATE OFFICER | 0 | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHY BROWN | Individual | CORPORATE OFFICER | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGERY FISHBEIN | Individual | CORPORATE OFFICER | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHARON BRAUMAN | Individual | CORPORATE OFFICER | 0 | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL H JO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LIFE CARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 6/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARK NELSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY H. KAO | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 5/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2025: RANCHO SAN ANTONIO RETIREMENT SERVICES, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRIAN WEAVER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LILY YOUNG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LILY YOUNG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANIEL H JO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANIEL H JO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARK NELSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARK NELSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: EIKO JOHNSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGERY FISHBEIN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LIFE CARE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RICK EXLINE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 31, 1992. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- June 1, 2025: PHILIP SUNSHINE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- April 1, 2025: MILDRED G VASAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MILDRED G VASAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 14, 2023: LOIS ADAMS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: LOIS ADAMS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: MEHRDAD AYATI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JEROME FISCHBEIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: EDITH H TOUSEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: VERNON K CLIFFORD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: VERNON K CLIFFORD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: SHARON BRAUMAN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: ELLYN BUSH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: KATHY BROWN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: PHILIP SUNSHINE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- July 1, 2025: RANCHO SAN ANTONIO RETIREMENT SERVICES, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRIAN WEAVER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LILY YOUNG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LILY YOUNG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANIEL H JO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANIEL H JO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARK NELSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARK NELSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: EIKO JOHNSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGERY FISHBEIN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LIFE CARE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RICK EXLINE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 31, 1992. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- June 1, 2025: PHILIP SUNSHINE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- April 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- April 1, 2025: MILDRED G VASAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MILDRED G VASAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- July 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 21, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 14, 2023: LOIS ADAMS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: LOIS ADAMS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: MEHRDAD AYATI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JEROME FISCHBEIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: EDITH H TOUSEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: VERNON K CLIFFORD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: VERNON K CLIFFORD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: SHARON BRAUMAN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: ELLYN BUSH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: KATHY BROWN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: PHILIP SUNSHINE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- January 17, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- January 19, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- February 3, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- January 16, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- January 30, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- January 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- January 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- February 11, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- January 27, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 30, 2026 | January 30, 2026 | 17 | 6 |
| 2 | July 19, 2024 | July 19, 2024 | 14 | 3 |
| 3 | June 9, 2023 | June 9, 2023 | 5 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
36 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 14, 2026 | Health | F 0551 | Resident Rights Deficiencies | Give the resident's representative the ability to exercise the resident's rights. | D | Yes | Deficient, Provider has date of correction | May 26, 2026 |
| April 9, 2026 | 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 | Yes | Deficient, Provider has date of correction | April 17, 2026 |
| January 30, 2026 | 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 | February 28, 2026 |
| January 30, 2026 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | No | Deficient, Provider has date of correction | February 28, 2026 |
| January 30, 2026 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | No | Deficient, Provider has date of correction | February 28, 2026 |
| January 30, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | February 28, 2026 |
| January 30, 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | February 28, 2026 |
| January 30, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | February 28, 2026 |
| January 30, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | February 28, 2026 |
| January 30, 2026 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | February 28, 2026 |
| January 30, 2026 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | February 28, 2026 |
| January 30, 2026 | 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 | February 28, 2026 |
| January 30, 2026 | 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. | E | No | Deficient, Provider has date of correction | February 28, 2026 |
| January 30, 2026 | 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 | February 28, 2026 |
| January 30, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | February 28, 2026 |
| January 30, 2026 | 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 | February 28, 2026 |
| January 30, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | February 28, 2026 |
| September 6, 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 | September 20, 2024 |
| July 19, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | August 18, 2024 |
| July 19, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | No | Deficient, Provider has date of correction | August 18, 2024 |
| July 19, 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | August 18, 2024 |
| July 19, 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 | August 18, 2024 |
| July 19, 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 | August 18, 2024 |
| July 19, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | August 18, 2024 |
| July 19, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | August 18, 2024 |
| July 19, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | August 18, 2024 |
| July 19, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | August 18, 2024 |
| July 19, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | August 18, 2024 |
| July 19, 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. | E | No | Deficient, Provider has date of correction | August 18, 2024 |
| July 19, 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 | August 18, 2024 |
| July 19, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | August 18, 2024 |
| June 9, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | July 9, 2023 |
| June 9, 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. | D | No | Deficient, Provider has date of correction | July 9, 2023 |
| June 9, 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 | July 9, 2023 |
| June 9, 2023 | 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 | July 9, 2023 |
| June 9, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | July 9, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare |
| Ownership Type | Non profit - Other |
| Legal Business Name | RANCHO SAN ANTONIO RETIREMENT SERVICES, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-09-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Santa Clara |
| Telephone Number | 6509440200 |
| Chain Name | LIFE CARE SERVICES |
| Chain ID | 312 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 48 |
| Average Number of Residents per Day | 45.5 |
| Overall Rating | 4 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 4 |
| 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 HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO: 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 April 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO
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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- BAY MARINE BOATWORKS, Richmond Hazardous waste handler
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- CTY OF ORANGE OC WASTE & RECYCLING, Orange Hazardous waste handler
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