Skilled nursing facility · CMS certification number 555692
STOCKTON CONGREGATIONAL HOMES INC
STOCKTON, California
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.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026. Its Medicare enrollment, STOCKTON CONGREGATIONAL HOMES (enrollment ID O20090803000670), is not listed in the CMS enrollment file dated August 1, 2026.
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 December 1, 2022 to September 25, 2023 — a reporting period of 298 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 28, 2024.
None of these figures is carried on this report.
CMS report record 1379471, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,048,553 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $332,277 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,716,276 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,801,839 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,085,563 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $325,916 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,759,647 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,759,647 (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 | 67 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,044 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 35 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 344.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 286.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359700, 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 23, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,262,078 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$165,874 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,427,952 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,651,422 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,223,470 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $324,415 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,899,055 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,899,055 (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 | 67 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,838 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 192.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330485, 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 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,035,505 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$301,283 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,336,788 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,981,809 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,645,021 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $703,552 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$941,469 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$941,469 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,611 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, all patients, in days | 132.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301326, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,398,649 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $562,711 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,835,938 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,002,747 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,166,809 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,201,164 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$965,645 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$965,645 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,487 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 187.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1271328, 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 May 29, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,627,480 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $604,052 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,023,428 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,065,258 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,041,830 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,189,234 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$852,596 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$852,596 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,745 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 178 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 155.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1225844, 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 8, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,960,143 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $652,240 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,307,903 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,190,661 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,882,758 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,226,055 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$656,703 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$656,703 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,643 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 829.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 409.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223925, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,308,119 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $505,355 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,802,764 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,781,311 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,978,547 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,543,718 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$434,829 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$434,829 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,437 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,036.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 254.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157660, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,065,651 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $395,579 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,670,072 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,276,816 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,606,744 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,098,854 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$507,890 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$507,890 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,848 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 504.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 230.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1123642, 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 5, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,917,617 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $550,893 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,366,724 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,280,077 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$913,353 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $590,900 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$322,453 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$322,453 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,852 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 33 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 82.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 920.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 359.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1093818, 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 28, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,302,340 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $580,123 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,722,217 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,419,668 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$697,451 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $579,091 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$118,360 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$118,360 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,903 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 987.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 233.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1069690, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,056,342 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $377,993 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,678,349 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,133,335 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$454,986 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $581,022 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $126,036 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $126,036 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,329 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 985.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 921.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029442, 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 November 30, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,772,666 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $229,942 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,542,724 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,165,317 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$622,593 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $206,365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$416,228 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,015 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,964 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 33 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,037.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 392.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1021183, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,829,345 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,178,663 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$349,318 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $504,233 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $154,915 (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 | 38 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,876 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,637.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 348 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398317, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,954,630 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,885,615 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $69,015 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $277,813 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $346,828 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 38 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,269 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 434.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 371040, 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 4, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,814,071 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,660,284 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $153,787 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,896 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $179,683 (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 | 38 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,505 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 492.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 221.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 342020, 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 4, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,852,854 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,472,618 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $380,236 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,978 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $405,214 (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 | 38 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,175 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 34 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 638.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 387.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 311386, 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 14, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,357,202 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,611,573 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$254,371 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $479,614 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $225,243 (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 | 38 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,443 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 259.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 283772, 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 June 19, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,057,735 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,509,456 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$451,721 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $465,800 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $14,079 (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 | 38 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,380 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | 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 | 326.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 254427, 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 17, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,888,212 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,396,816 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$508,604 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $521,102 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $12,498 (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 | 38 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,081 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 29 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 95.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 451.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 217073, 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 February 16, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,602,033 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,352,888 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$750,855 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $542,646 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$208,209 (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 | 38 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,049 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 289.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 207898, 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 1, 2004.
None of these figures is carried on this report.
CMS report record 192846, 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 21, 2004.
None of these figures is carried on this report.
CMS report record 194186, 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: −$73,597 (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 98761, 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: −$17,543 (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 98760, 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 June 24, 1999.
None of these figures is carried on this report.
CMS report record 98759, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended November 30, 1997
Cost report for February 1, 1997 to November 30, 1997 — a reporting period of 302 days, on form CMS-2540-96, settled, processed by CMS on November 3, 1999.
Net income: −$14,544 (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 98757, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
- March 1, 2024: JOHN BAUMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JEFFREY ROBERT POLLOCK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: RAYMOND EAST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: STUART J HARTMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: DONALD G HART no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: ANDREW R BUNN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: RETIREMENT HOUSING FOUNDATION no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: DAVID NAPIERSKIE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: NORMA DESAEGHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: DAVID MOYER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- November 30, 2022: DARRELL M SEXTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: DARRELL M SEXTON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: CHRISTINA POTTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: JEFFREY ROBERT POLLOCK (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: DONALD G HART (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since February 25, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: ANDREW R BUNN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since June 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: NORMA DESAEGHER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since June 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Recent changes on this record
- May 28, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 1, 2024: JOHN BAUMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JEFFREY ROBERT POLLOCK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: RAYMOND EAST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: STUART J HARTMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: DONALD G HART no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: ANDREW R BUNN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: RETIREMENT HOUSING FOUNDATION no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: DAVID NAPIERSKIE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: NORMA DESAEGHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: DAVID MOYER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- July 24, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- November 30, 2022: DARRELL M SEXTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: DARRELL M SEXTON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: CHRISTINA POTTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: JEFFREY ROBERT POLLOCK (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: DONALD G HART (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since February 25, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: ANDREW R BUNN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since June 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: NORMA DESAEGHER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since June 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- August 23, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 28, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- October 14, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- May 29, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 8, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 19, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 12, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- June 5, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- June 28, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- May 16, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- November 30, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- April 29, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- May 27, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- June 4, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- June 4, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- June 14, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- June 19, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- May 17, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- February 16, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- September 21, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- September 1, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
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One email a day naming what moved on STOCKTON CONGREGATIONAL HOMES INC: 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 May 28, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.
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The citable document for STOCKTON CONGREGATIONAL HOMES INC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 555692.