Skilled nursing facility · CMS certification number 555757
MILPITAS CARE CENTER
MILPITAS, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 35
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: 3 · Fines: 2 · Fines, total amount: $20,051.00 · Payment denials: 1. The most recent penalty on file: June 27, 2025, Fine, $8,406. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,648,110 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,177,072 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,471,038 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,285,081 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$814,043 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$814,043 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$848,844 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 12,810 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 764 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 9,181 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 9,945 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 14 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 12 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 26 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 382.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439415, 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 December 6, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,633,207 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $480,641 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,152,566 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,159,666 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,007,100 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,007,100 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,007,905 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,247 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 269.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1400349, 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 December 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,030,617 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$378,071 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,408,688 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,743,543 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $665,145 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,053 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $669,198 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $669,198 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,420 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 219.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1370830, 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 December 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,801,064 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $256,028 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,545,036 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,014,254 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $530,782 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $530,782 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $526,787 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,725 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 19 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 251.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 695 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 459.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338506, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,626,771 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$52,120 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,678,891 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,119,890 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$440,999 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$440,999 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$475,917 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,483 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 19 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,040.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 551.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313863, 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 November 30, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,387,784 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $236,682 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,151,102 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,184,255 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$33,153 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$33,153 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$37,897 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,516 | 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 | 76.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 849.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 338.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274524, 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 September 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,823,404 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $266,402 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,557,002 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,845,418 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$288,416 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$288,416 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$289,596 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,745 | 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 | 53.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 508 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 210.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243597, 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 August 23, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,331,909 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $158,668 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,173,241 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,789,896 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $383,345 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $383,345 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $382,545 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,677 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 472.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 204.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1210390, 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 August 22, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,373,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $440,073 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,933,362 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,958,782 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$25,420 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$25,420 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$26,220 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,528 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 414.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174438, 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 September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,920,401 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $270,981 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,649,420 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,880,591 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $768,829 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $711 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $769,540 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $762,877 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,012 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,581.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 174.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143645, 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 September 23, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,805,035 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $581,401 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,223,634 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,928,098 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $295,536 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,048 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $298,584 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $298,584 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,386 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,286 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 253.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1110690, 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 with audit, processed by CMS on September 10, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,723,891 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $724,281 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,999,610 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,781,554 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $218,056 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $40,184 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $258,240 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $257,440 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,540 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,194.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 256.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077924, 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 August 16, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,855,201 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $979,357 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,875,844 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,748,511 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $127,333 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $127,333 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $126,533 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,952 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 508.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 195.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046651, 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 January 31, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,154,826 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$295,475 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,450,301 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,715,067 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $735,234 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $112 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $735,346 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $733,746 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,560 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 625.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 218.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024416, 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 August 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,132,387 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,660,559 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$528,172 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $100 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$528,072 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,074 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 336.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415765, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for April 17, 2009 to December 31, 2009 — a reporting period of 258 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,233,230 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,812,241 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$579,011 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $200 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$578,811 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,455 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 26 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 101 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 433.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 325.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394115, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 6, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,705,614 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,752,413 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$46,799 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $8,486 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$55,285 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,153 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 363.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 243.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354020, 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 13, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,945,468 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,790,955 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $154,513 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $154,513 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,177 | 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 | 54.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 592.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 419.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323820, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 25, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,885,063 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,674,403 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $210,660 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $1,757 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $208,903 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,411 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 428.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 310.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295154, 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 September 22, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,895,462 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,661,403 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $234,059 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $36,883 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $197,176 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,270 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 44 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 350.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 278.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 263804, 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 July 29, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,647,604 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,451,607 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $195,997 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $38,148 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $157,849 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,204 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 23 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 530.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 229397, 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 July 30, 2004.
None of these figures is carried on this report.
CMS report record 188673, 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 September 1, 2004.
None of these figures is carried on this report.
CMS report record 191100, 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 July 30, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,254,194 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,415,882 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$161,688 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $9,558 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$171,246 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,023 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 185.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 189077, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for June 20, 2000 to December 31, 2000 — a reporting period of 194 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 4, 2002.
None of these figures is carried on this report.
CMS report record 98885, read from the public cost report file SNFFY2000.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 |
|---|---|---|---|---|
| ASM FAMILY FOUNDATION | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 06/16/2020 |
| MACATANGAY, HELEN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 06/16/2020 |
| PERRY, ADELONA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/16/2020 |
| ASM FAMILY FOUNDATION | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/16/2020 |
| CORRO, GINA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/16/2020 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ASM FAMILY FOUNDATION (enrollment ID O20210608002035).
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 |
|---|---|---|---|---|---|
| ASM FAMILY FOUNDATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/16/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| HELEN M. MACATANGAY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/16/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADELONA PERRY | Individual | CORPORATE OFFICER | 100 | 6/16/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ASM FAMILY FOUNDATION | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 6/16/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| GINA CORRO | Individual | W-2 MANAGING EMPLOYEE | 100 | 6/16/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- December 6, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- December 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- December 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- April 21, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- November 30, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- September 19, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 23, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 22, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- September 30, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- September 23, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- September 10, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 16, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- January 31, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- August 17, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- February 17, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- September 30, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 6, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 13, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- October 25, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- September 22, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- July 29, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- September 1, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- July 30, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- July 30, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 4, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 27, 2025 | June 27, 2025 | 18 | 9 |
| 2 | March 1, 2024 | March 1, 2024 | 13 | 13 |
| 3 | July 22, 2022 | July 22, 2022 | 18 | 12 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
49 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 5, 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 | Yes | Deficient, Provider has date of correction | January 10, 2026 |
| January 5, 2026 | 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. | E | Yes | Deficient, Provider has date of correction | January 10, 2026 |
| June 27, 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 27, 2025 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 27, 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 27, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 27, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 27, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | August 20, 2025 |
| June 27, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | G | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 27, 2025 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 27, 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 | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 27, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 27, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 27, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | August 7, 2025 |
| June 27, 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 27, 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. | F | No | Deficient, Provider has date of correction | August 20, 2025 |
| June 27, 2025 | 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. | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 27, 2025 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | July 11, 2025 |
| January 9, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | January 27, 2025 |
| June 21, 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. | D | Yes | Deficient, Provider has date of correction | July 5, 2024 |
| March 1, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | March 31, 2024 |
| March 1, 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | March 22, 2024 |
| March 1, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | No | Deficient, Provider has date of correction | March 31, 2024 |
| March 1, 2024 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | March 31, 2024 |
| March 1, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | March 31, 2024 |
| March 1, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | March 31, 2024 |
| March 1, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | E | No | Deficient, Provider has date of correction | March 31, 2024 |
| March 1, 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 | No | Deficient, Provider has date of correction | March 31, 2024 |
| March 1, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 31, 2024 |
| March 1, 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | March 31, 2024 |
| March 1, 2024 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Waiver has been granted | March 21, 2024 |
| March 1, 2024 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | No | Deficient, Provider has date of correction | March 31, 2024 |
| December 5, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | December 12, 2023 |
| September 5, 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Yes | Deficient, Provider has date of correction | September 6, 2023 |
| July 22, 2022 | 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 | August 24, 2022 |
| July 22, 2022 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | No | Deficient, Provider has date of correction | August 24, 2022 |
| July 22, 2022 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | August 24, 2022 |
| July 22, 2022 | 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 | August 24, 2022 |
| July 22, 2022 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | August 24, 2022 |
| July 22, 2022 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | August 24, 2022 |
| July 22, 2022 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | August 24, 2022 |
| July 22, 2022 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | August 24, 2022 |
| July 22, 2022 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | No | Deficient, Provider has date of correction | August 24, 2022 |
| July 22, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | August 24, 2022 |
| July 22, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | August 24, 2022 |
| July 22, 2022 | Health | F 0888 | Infection Control Deficiencies | Ensure staff are vaccinated for COVID-19 | D | No | Deficient, Provider has date of correction | August 24, 2022 |
| July 22, 2022 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | August 24, 2022 |
| July 22, 2022 | 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 | August 24, 2022 |
| July 22, 2022 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | No | Deficient, Provider has date of correction | August 24, 2022 |
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 |
|---|---|---|---|---|---|
| June 27, 2025 | Fine | $8,406 | 134082 | ||
| June 27, 2025 | Payment Denial | July 23, 2025 | 28 | ||
| December 11, 2023 | Fine | $11,645 | 129466 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | ASM FAMILY FOUNDATION |
| Date First Approved to Provide Medicare and Medicaid Services | 2000-06-27 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Santa Clara |
| Telephone Number | 4082620217 |
| 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 | 35 |
| Average Number of Residents per Day | 30.6 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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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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