Skilled nursing facility · CMS certification number 555737
BAYSHIRE SAN DIMAS POST-ACUTE
SAN DIMAS, California · Medicare
Certified beds, as filed in Care Compare: 45
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: 8 · Fines: 8 · Fines, total amount: $85,083.00 · Payment denials: 0. The most recent penalty on file: November 6, 2024, Fine, $12,048. 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 April 1, 2024 to December 31, 2024 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,058,730 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $617,238 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,441,492 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,116,200 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $325,292 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $325,312 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $325,312 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Medicare (Title XVIII) patient days | 2,131 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 7,389 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 9,520 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 55 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 251 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 306 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 31.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439413, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 30, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,173,481 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$135,663 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,309,144 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,983,950 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,674,806 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,674,806 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,117 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 250 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 32.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396317, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 2, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,791,058 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $80,424 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,710,634 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,576,114 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,865,480 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,865,480 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,506 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 274 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 27.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360751, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,900,969 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,395 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,892,574 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,410,620 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,518,046 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,518,046 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,700 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 31.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334567, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for August 1, 2020 to December 31, 2020 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on November 25, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,210,144 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$16,091 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,226,235 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,017,629 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$791,394 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $791,394 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 2,581 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 47.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305619, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,899,772 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$3,484,193 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,383,965 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,215,821 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$831,856 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,804 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$804,052 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$804,052 (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 | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,587 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 650 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 73.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272400, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 12, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,732,733 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$4,094,222 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,826,955 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,047,435 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$220,480 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,760 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$188,720 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$188,720 (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 | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,441 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 640 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 83.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236815, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,211,002 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$3,247,133 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,458,135 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,780,580 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,322,445 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,588 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,287,857 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,287,857 (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 | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,176 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 674 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 81.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1202753, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,329,763 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$4,099,538 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,429,301 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,232,154 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,802,853 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $73,218 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,729,635 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,729,635 (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 | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,761 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 511 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 103.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1168882, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,458,981 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $606,457 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,852,524 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,237,268 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,384,744 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,258 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,332,486 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,332,486 (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 | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,201 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 369 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 138.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138775, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 27, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,970,995 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,920,213 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,050,782 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,591,684 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,540,902 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,452 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,521,450 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,521,450 (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 | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,680 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 356 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 145.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105492, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,432,701 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,134,622 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,298,079 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,159,710 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$861,631 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$45,716 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$907,347 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$907,347 (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 | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,391 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 403 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 132.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073654, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,424,712 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,938,560 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,486,152 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,337,055 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$850,903 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $64,449 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$786,454 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$786,454 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,210 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 385 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 138.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043670, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,048,122 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,323,325 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,724,797 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,686,832 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$962,035 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $86,005 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$876,030 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$876,030 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,008 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 354 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 144.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016806, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 27, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,638,320 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,490,847 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $147,473 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $117,639 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $265,112 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,792 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 294 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 162.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430998, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for December 1, 2008 to December 31, 2009 — a reporting period of 395 days, on form CMS-2540-96, settled, processed by CMS on September 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,916,635 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,630,539 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $286,096 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $121,467 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $407,563 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,519 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 272 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 182.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387717, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended November 30, 2008
Cost report for January 1, 2008 to November 30, 2008 — a reporting period of 334 days, on form CMS-2540-96, settled, processed by CMS on August 4, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,676,252 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,671,547 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,004,705 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $118,468 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,123,173 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,675 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 315 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 138.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353733, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 6, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,289,341 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,016,525 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,272,816 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $103,045 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,375,861 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,807 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 270 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 177.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323009, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 14, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,597,519 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,512,336 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,085,183 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $140,235 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,225,418 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,849 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 303 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 171.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308839, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,370,444 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,512,961 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,857,483 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $87,139 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,944,622 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,864 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 271 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 195.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266428, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 7, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,964,338 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,666,061 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,298,277 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71,139 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,369,416 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,415 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 278 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 170.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 236291, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 23, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,901,722 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,369,448 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $532,274 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $109,541 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $641,815 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,859 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 225 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 199.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 208497, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 26, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,718,970 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,098,909 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,620,061 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $113,095 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,733,156 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,575 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 180 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 247.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169589, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 30, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,208,016 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,353,214 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$145,198 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $145,197 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,539 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 326 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 139.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 146561, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 5, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,475,856 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,652,456 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$176,600 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $176,601 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,613 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 310 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 137.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15941, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for May 5, 1999 to December 31, 1999 — a reporting period of 240 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 15, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,294,142 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,370,609 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$76,467 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,023 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$44,444 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,131 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 169.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15939, read from the public cost report file SNFFY1999.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BAYSHIRE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2024 |
| COLEMAN, CHAD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2023 |
| HIRSCH, RICK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/25/2025 |
| KIRBY, SCOTT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2024 |
| PARROTT, JASON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/30/2023 |
| PETERSON, TANNER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/13/2025 |
| VILLANUEVA, RICKY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| KIRBY, SCOTT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2024 |
| BAYSHIRE CONTINUING CARE LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/01/2024 |
| GOLDEN STATE CARE HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/01/2024 |
| KIRBY, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2024 |
| PETERSON, TANNER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/13/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SKILLED SAN DIMAS LLC (enrollment ID O20240417000108).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BAYSHIRE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAD COLEMAN | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON PARROTT | Individual | ADP OF THE SNF | Not stated in the filing | 1/30/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICK M HIRSCH | Individual | ADP OF THE SNF | Not stated in the filing | 2/25/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICKY CRUZ VILLANUEVA | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT KIRBY | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TANNER PETERSON | Individual | ADP OF THE SNF | Not stated in the filing | 1/13/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 8/24/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCOTT KIRBY | Individual | CORPORATE OFFICER | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BAYSHIRE CONTINUING CARE LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 4/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| GOLDEN STATE CARE HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 4/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCOTT KIRBY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TANNER PETERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/13/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2025: BAYSHIRE CONTINUING CARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SKILLED SAN DIMAS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHAD COLEMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JAGTAR DHADWAL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHARLES G BRUGH no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SCOTT KIRBY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GOLDEN STATE CARE HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BAYSHIRE CONTINUING CARE LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICKY CRUZ VILLANUEVA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TANNER PETERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TANNER PETERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BAYSHIRE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHAD COLEMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JASON PARROTT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SCOTT KIRBY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SCOTT KIRBY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GOLDEN STATE CARE HOLDINGS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICK M HIRSCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- July 1, 2024: JENNIFER E JONES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: HARRY W GABRIEL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: GENERATIONS, L.L.C no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: REBECCA A STAYNER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: KARA A KNEEDY-CAYEM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MELODY L GABRIEL no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MELODY L GABRIEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: BAYSHIRE CONTINUING CARE LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SKILLED SAN DIMAS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: CHAD COLEMAN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 22, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JAGTAR DHADWAL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since December 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: CHARLES G BRUGH (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SCOTT KIRBY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SCOTT KIRBY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: GOLDEN STATE CARE HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
Recent changes on this record
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 1, 2025: BAYSHIRE CONTINUING CARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SKILLED SAN DIMAS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHAD COLEMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JAGTAR DHADWAL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHARLES G BRUGH no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SCOTT KIRBY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GOLDEN STATE CARE HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BAYSHIRE CONTINUING CARE LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICKY CRUZ VILLANUEVA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TANNER PETERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TANNER PETERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BAYSHIRE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHAD COLEMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JASON PARROTT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SCOTT KIRBY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SCOTT KIRBY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GOLDEN STATE CARE HOLDINGS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICK M HIRSCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- November 26, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 30, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 1, 2024: JENNIFER E JONES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: HARRY W GABRIEL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: GENERATIONS, L.L.C no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: REBECCA A STAYNER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: KARA A KNEEDY-CAYEM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MELODY L GABRIEL no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MELODY L GABRIEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: BAYSHIRE CONTINUING CARE LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SKILLED SAN DIMAS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: CHAD COLEMAN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 22, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JAGTAR DHADWAL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since December 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: CHARLES G BRUGH (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SCOTT KIRBY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SCOTT KIRBY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: GOLDEN STATE CARE HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- August 2, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 28, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 25, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 9, 2026 | April 9, 2026 | 14 | 3 |
| 2 | February 9, 2025 | February 9, 2025 | 16 | 6 |
| 3 | January 29, 2024 | January 29, 2024 | 21 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
51 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 2, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | July 6, 2026 |
| April 9, 2026 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | April 24, 2026 |
| April 9, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | April 24, 2026 |
| April 9, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | April 24, 2026 |
| April 9, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | April 29, 2026 |
| April 9, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | No | Deficient, Provider has date of correction | April 29, 2026 |
| April 9, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | April 29, 2026 |
| April 9, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 29, 2026 |
| December 11, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | January 5, 2026 |
| December 11, 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | January 5, 2026 |
| December 11, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | January 5, 2026 |
| December 11, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | January 5, 2026 |
| December 11, 2025 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Yes | Deficient, Provider has date of correction | January 5, 2026 |
| December 11, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | January 5, 2026 |
| August 29, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | September 19, 2025 |
| February 9, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 9, 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 9, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 9, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 9, 2025 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 9, 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 9, 2025 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 9, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 9, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 9, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | February 20, 2025 |
| February 9, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 9, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 9, 2025 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| November 6, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | Yes | Deficient, Provider has date of correction | December 1, 2024 |
| November 6, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | November 26, 2024 |
| July 18, 2024 | Health | F 0660 | Resident Assessment and Care Planning Deficiencies | Plan the resident's discharge to meet the resident's goals and needs. | D | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| July 18, 2024 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| July 18, 2024 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| July 18, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| June 26, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | July 19, 2024 |
| June 26, 2024 | Health | F 0624 | Resident Rights Deficiencies | Prepare residents for a safe transfer or discharge from the nursing home. | D | Yes | Deficient, Provider has date of correction | July 19, 2024 |
| January 29, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | February 25, 2024 |
| January 29, 2024 | Health | F 0940 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | No | Deficient, Provider has date of correction | February 25, 2024 |
| October 27, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | October 27, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| November 6, 2024 | Fine | $12,048 | 130938 | ||
| February 20, 2024 | Fine | $4,938 | 129985 | ||
| February 12, 2024 | Fine | $4,938 | 129924 | ||
| January 29, 2024 | Fine | $25,058 | 130144 | ||
| January 22, 2024 | Fine | $14,814 | 129749 | ||
| January 8, 2024 | Fine | $4,938 | 129681 | ||
| January 2, 2024 | Fine | $4,587 | 129617 | ||
| December 11, 2023 | Fine | $13,762 | 129452 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | SKILLED SAN DIMAS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1999-05-05 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 9093940304 |
| Chain Name | BAYSHIRE SENIOR COMMUNITIES |
| Chain ID | 682 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 45 |
| Average Number of Residents per Day | 38.8 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on BAYSHIRE SAN DIMAS POST-ACUTE: 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 September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for BAYSHIRE SAN DIMAS POST-ACUTE
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.
Other public records in California
- HR SHAMDO LOGISTICS INC, CITRUS HEIGHTS Motor carrier
- GREENTRADE CORP, POMONA Motor carrier
- SYSCO SACRAMENTO INC, PLEASANT GROVE Motor carrier
- WILSON GAS, LLC, LOOMIS Motor carrier
- CITY OF MORRO BAY WATER RECLAMATION FACILITY, MORRO BAY Water discharge permit
- M1W REGIONAL WWTP AND AWPF/CAL-AM MPWSP DESALINATION PLANT, MARINA Water discharge permit
- TAHOE KEYS LAGOONS AQUATIC WEED CONTROL METHODS TEST, SOUTH LAKE TAHOE Water discharge permit
- CALEXICO WPCP, CALEXICO Water discharge permit
- US MINE CO. - IONE PLANT, IONE Air emission source
- AMPINE: A DIVISION OF TIMBER PRODUCTS COMPANY, MARTELL Air emission source
- NORTHROP GRUMMAN CORP, PALMDALE Air emission source
- LANDCASTER LANDFILL, LANCASTER Air emission source
- GENERAL PLATING COMPANY, Los Angeles Hazardous waste handler
- MARRS PRINTING INC., Walnut Hazardous waste handler
- PACIFIC TRUCK EQUIPMENT, Whittier Hazardous waste handler
- USDA IRRIGATED DESERT RESEARCH STATION, Brawley Hazardous waste handler
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 555737.