Velarion Records

Skilled nursing facility · CMS certification number 555645

AUBURN RAVINE HEALTHCARE CENTER

AUBURN, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 59

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 February 29, 2024 to December 31, 2024 — a reporting period of 306 days, on form CMS-2540-10, settled, processed by CMS on June 26, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$7,538,207CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$205,862CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,332,345CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,719,608CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$387,263CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$87,921CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$299,342CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$299,342 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components18,054CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,778CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days2,189CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days13,223CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components17,190CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges59CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges3CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges96CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components158CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days729.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days108.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1432333, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended November 30, 2023

Cost report for December 1, 2022 to November 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 25, 2024.

None of these figures is carried on this report.

CMS report record 1386556, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended November 30, 2022

Cost report for December 1, 2021 to November 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$7,081,479CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$312,083CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,769,396CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,589,324CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,819,928CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$503,657CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,316,271CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,316,271 (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%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,813CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components13CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days4,394CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days1,370.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359699, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended November 30, 2021

Cost report for December 1, 2020 to November 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 3, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$7,858,568CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$48,294CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,810,274CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,138,618CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,328,344CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$665,229CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$663,115CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$663,115 (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%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,254CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components26CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,785.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days817.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328798, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended November 30, 2020

Cost report for December 1, 2019 to November 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 30, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,862,875CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$864,072CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,998,803CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,056,679CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,057,876CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,306,706CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$248,830CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $248,830 (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%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components188CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components61,937CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components35CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days68.44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,528.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days1,769.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1301742, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended November 30, 2019

Cost report for December 1, 2018 to November 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 14, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$8,895,175CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,309,363CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,585,812CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,139,151CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,553,339CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,111,386CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$441,953CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$441,953 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components188CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components62,027CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components63CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,201.45CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days984.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1270498, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended November 30, 2018

Cost report for December 1, 2017 to November 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 6, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$8,179,841CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$846,539CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,333,302CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,767,698CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,434,396CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,130,451CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$303,945CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$303,945 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components63,149CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components71CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,306.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days889.42CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1226937, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended November 30, 2017

Cost report for December 1, 2016 to November 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 29, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$8,433,649CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,248,501CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,185,148CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,445,673CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,260,525CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,008,260CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$252,265CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$252,265 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components64,438CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components62CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.28CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,497CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days1,039.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1190423, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended November 30, 2016

Cost report for December 1, 2015 to November 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 19, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$8,607,288CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,115,026CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,492,262CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,479,268CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$987,006CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,042,979CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$55,973CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $55,973 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,337CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components67CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,035.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days303.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1157659, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended November 30, 2015

Cost report for December 1, 2014 to November 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 12, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$8,056,710CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,050,906CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,005,804CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,005,686CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$999,882CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,106,375CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$106,493CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $106,493 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,653CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components58CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,187.57CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days356.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1123638, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended November 30, 2014

Cost report for December 1, 2013 to November 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 4, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$7,658,501CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$759,050CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,899,451CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,921,774CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,022,323CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,118,434CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$96,111CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $96,111 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,013CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components34CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days106.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days3,300.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days618.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1093333, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended November 30, 2013

Cost report for December 1, 2012 to November 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 24, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$7,658,254CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$885,824CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,772,430CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,820,274CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,047,844CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,184,520CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$136,676CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $136,676 (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%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,014CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components84CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.59CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,155CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days238.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1067698, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended November 30, 2012

Cost report for December 1, 2011 to November 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 16, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$7,285,677CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$929,578CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,356,099CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,494,206CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,138,107CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,291,549CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$153,442CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $153,442 (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%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,819CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components68CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,092.23CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days291.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1029440, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended November 30, 2011

Cost report for December 1, 2010 to November 30, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 19, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$7,251,565CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$736,314CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,515,251CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,424,359CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$909,108CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,224,323CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$315,215CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $315,215 (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%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,290CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components79CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,054.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days244.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024919, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended November 30, 2010

Cost report for December 1, 2009 to November 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 29, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$5,812,699CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,840,015CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,027,316CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,289,940CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $262,624 (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.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,155CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components76CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days26.6CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days650.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days265.2CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398314, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended November 30, 2009

Cost report for December 1, 2008 to November 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 27, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$6,223,956CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,724,499CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$500,543CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$976,601CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $476,058 (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.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,597CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components57CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days65.22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,000.07CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days361.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 371037, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended November 30, 2008

Cost report for December 1, 2007 to November 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 5, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$7,164,626CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,458,965CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$705,661CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$73,247CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $778,908 (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.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,815CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components73CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days572.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days285.14CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 342248, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended November 30, 2007

Cost report for December 1, 2006 to November 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 6, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$6,274,990CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,212,798CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$62,192CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$929,898CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$40CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $992,050 (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.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,057CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components46CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44.79CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,045.27CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days457.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 311819, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended November 30, 2006

Cost report for December 1, 2005 to November 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 22, 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$5,757,477CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,030,761CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$273,284CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,023,904CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$172CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $750,448 (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.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,017CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components73CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days287.9CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 286155, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended November 30, 2005

Cost report for December 1, 2004 to November 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 23, 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$5,497,102CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,981,726CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$484,624CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,139,743CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $655,119 (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.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,322CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components82CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days75.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days247.83CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249991, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended November 30, 2004

Cost report for December 1, 2003 to November 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 25, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$4,913,417CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,745,836CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$832,419CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$945,206CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $112,787 (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.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,210CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components61CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.04CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days347.7CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 218080, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended November 30, 2003

Cost report for December 1, 2002 to November 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 18, 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$4,818,433CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,520,658CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$702,225CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,019,386CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$522CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $316,639 (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.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,786CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components61CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days340.75CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 176743, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended November 30, 2002

Cost report for December 1, 2001 to November 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 21, 2004.

None of these figures is carried on this report.

CMS report record 194185, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended November 30, 2001

Cost report for December 1, 2000 to November 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 23, 2003.

None of these figures is carried on this report.

CMS report record 160508, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended November 30, 2000

Cost report for December 1, 1999 to November 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on May 9, 2001.

Net income: −$264,996 (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.

CMS report record 98676, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended November 30, 1999

Cost report for December 1, 1998 to November 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 5, 2001.

Net income: −$185,828 (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.

CMS report record 98674, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended November 30, 1998

Cost report for December 1, 1997 to November 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 7, 2001.

Net income: −$63,097 (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.

CMS report record 98672, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended November 30, 1997

Cost report for December 1, 1996 to November 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 13, 1999.

Net income: −$426,812 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 98670, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended November 30, 1996

Cost report for December 1, 1995 to November 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 25, 1998.

Net income: −$110,653 (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.

CMS report record 98669, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
AMATON, ROXANNAADP OF THE SNFIndividualNOT APPLICABLEsince 02/29/2024
COKINOS, SUZETTEADP OF THE SNFIndividualNOT APPLICABLEsince 02/29/2024
CYPRESS HEALTHCARE GROUP LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/17/2026
DAVIDSON, JAMIEADP OF THE SNFIndividualNOT APPLICABLEsince 10/22/2024
DOBLER, STACIEADP OF THE SNFIndividualNOT APPLICABLEsince 02/29/2024
JACKSON, MATTHEWADP OF THE SNFIndividualNOT APPLICABLEsince 02/29/2024
JACKSON, ROBERTADP OF THE SNFIndividualNOT APPLICABLEsince 02/29/2024
JONES, JAMIEADP OF THE SNFIndividualNOT APPLICABLEsince 02/29/2024
KASZA, DANIELLAADP OF THE SNFIndividualNOT APPLICABLEsince 09/03/2024
NOBILE, MICHELLEADP OF THE SNFIndividualNOT APPLICABLEsince 02/29/2024
PASCARELLA, JOSHUAADP OF THE SNFIndividualNOT APPLICABLEsince 02/29/2024
SANOFSKY, JACKADP OF THE SNFIndividualNOT APPLICABLEsince 02/29/2024
SINGH, SUKHWINDERADP OF THE SNFIndividualNOT APPLICABLEsince 02/29/2024
JACKSON, MATTHEWCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/29/2024
JACKSON, ROBERTCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/29/2024
SANOFSKY, JACKCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/29/2024
CYPRESS HEALTHCARE GROUP LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 02/29/2024
JACKSON, MATTHEWINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 02/29/2024
JACKSON, ROBERTINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 02/29/2024
SANOFSKY, JACKINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 02/29/2024
AMATON, ROXANNAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/29/2024
CYPRESS HEALTHCARE GROUP LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 02/29/2024
JACKSON, MATTHEWOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/29/2024
JACKSON, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/29/2024
JONES, JAMIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/29/2024
SANOFSKY, JACKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/29/2024

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GLOCKSTON LLC (enrollment ID O20240501001702).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
CYPRESS HEALTHCARE GROUP LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1002/29/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JACK SANOFSKYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST33.332/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MATTHEW JACKSONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST33.332/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT JACKSONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST33.332/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CYPRESS HEALTHCARE GROUP LLCOrganizationADP OF THE SNFNot stated in the filing2/11/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
DANIELLA KASZAIndividualADP OF THE SNFNot stated in the filing9/3/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JACK SANOFSKYIndividualADP OF THE SNFNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JAMIE DAVIDSONIndividualADP OF THE SNFNot stated in the filing10/22/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JAMIE JONESIndividualADP OF THE SNFNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOSHUA PASCARELLAIndividualADP OF THE SNFNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MATTHEW JACKSONIndividualADP OF THE SNFNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHELLE NOBILEIndividualADP OF THE SNFNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT JACKSONIndividualADP OF THE SNFNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROXANNA AMATONIndividualADP OF THE SNFNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STACIE DOBLERIndividualADP OF THE SNFNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SUKHWINDER SINGHIndividualADP OF THE SNFNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SUZETTE COKINOSIndividualADP OF THE SNFNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JACK SANOFSKYIndividualCORPORATE OFFICERNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MATTHEW JACKSONIndividualCORPORATE OFFICERNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT JACKSONIndividualCORPORATE OFFICERNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CYPRESS HEALTHCARE GROUP LLCOrganizationDIRECT OWNERSHIP INTERESTNot stated in the filing2/29/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JACK SANOFSKYIndividualINDIRECT OWNERSHIP INTEREST33.332/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MATTHEW JACKSONIndividualINDIRECT OWNERSHIP INTEREST33.332/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT JACKSONIndividualINDIRECT OWNERSHIP INTEREST33.332/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CYPRESS HEALTHCARE GROUP LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing2/29/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JACK SANOFSKYIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JAMIE JONESIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MATTHEW JACKSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT JACKSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROXANNA AMATONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing2/29/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1September 10, 2025September 10, 202557
2July 19, 2024July 19, 2024167
3September 8, 2023September 8, 2023103

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

31 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
December 18, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correctionJanuary 8, 2026
December 18, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionJanuary 8, 2026
September 10, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionSeptember 24, 2025
September 10, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionSeptember 24, 2025
September 10, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionSeptember 24, 2025
July 19, 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedENoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.FNoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.FNoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FNoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.ENoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.ENoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.DNoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.FNoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0839Administration DeficienciesEmploy staff that are licensed, certified, or registered in accordance with state laws.FNoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.FNoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.DNoDeficient, Provider has date of correctionAugust 18, 2024
July 19, 2024HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FNoDeficient, Provider has date of correctionAugust 18, 2024
September 8, 2023HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.ENoDeficient, Provider has date of correctionOctober 8, 2023
September 8, 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correctionOctober 8, 2023
September 8, 2023HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correctionOctober 8, 2023
September 8, 2023HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FNoDeficient, Provider has date of correctionOctober 8, 2023
September 8, 2023HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FNoDeficient, Provider has date of correctionOctober 8, 2023
September 8, 2023HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.FNoDeficient, Provider has date of correctionOctober 8, 2023
September 8, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionOctober 8, 2023
September 8, 2023HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.FNoDeficient, Provider has date of correctionOctober 8, 2023
September 8, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionOctober 8, 2023
September 8, 2023HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.DNoDeficient, Provider has date of correctionOctober 8, 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

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameGLOCKSTON LLC
Date First Approved to Provide Medicare and Medicaid Services1995-11-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishPlacer
Telephone Number5308236131
Chain NameCYPRESS HEALTHCARE GROUP
Chain ID175
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds59
Average Number of Residents per Day55.9
Overall Rating5
Health Inspection Rating4
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating3
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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