Skilled nursing facility · CMS certification number 555792

SUNNYVALE POST-ACUTE CENTER

SUNNYVALE, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 99

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on June 16, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$33,740,049	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$12,748,379	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$20,991,670	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,094,264	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,897,406	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,109	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,908,515	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,908,515 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	36,234	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	5,898	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	1,465	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	27,503	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	34,866	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	122	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	11	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	337	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	470	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	133.18	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	74.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1429178, 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 August 28, 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$27,481,263	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,842,186	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$20,639,077	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,222,076	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$3,417,001	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,162	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$3,422,163	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,422,163 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,457	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	435	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,240.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	79.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435919, 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 September 27, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$22,868,987	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,431,483	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,437,504	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,832,827	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,604,677	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$199,489	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,804,166	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,804,097 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,989	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	506	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.66	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,654.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	65.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365671, 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 October 17, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$16,168,362	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,234,145	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,934,217	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,041,750	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$892,467	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$763,904	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$128,563	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $116,438 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,941	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	408	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	497.58	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	70.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334873, 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 August 12, 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$12,997,574	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,744,251	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,253,323	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,752,280	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$498,957	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,587,243	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,088,286	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,088,286 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,395	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	264	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,864.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	111.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329702, 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 December 8, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$16,168,494	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,588,283	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,580,211	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,037,923	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$542,288	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,254	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$554,542	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $554,542 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,509	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	395	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	342.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	84.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1275378, 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 August 8, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$16,797,795	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,527,242	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,270,553	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,672,359	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$598,194	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,221	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$605,415	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $605,415 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,916	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	444	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	421.9	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	76.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240173, 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 21, 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$21,285,364	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,595,530	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,689,834	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,094,602	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$595,232	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,322	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$604,554	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $604,554 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,563	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	522	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	228.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	64.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208941, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for December 1, 2015 to December 31, 2016 — a reporting period of 396 days, on form CMS-2540-10, settled, processed by CMS on August 4, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$20,608,201	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,942,525	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,665,676	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,587,882	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$77,794	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,598	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$79,392	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $79,392 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,617	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	583	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	246.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	61.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171959, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended November 30, 2015

Cost report for January 1, 2015 to November 30, 2015 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on December 20, 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$15,309,732	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,229,740	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,079,992	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,321,765	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$241,773	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$713,208	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$471,435	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $53,146 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,391	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	558	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	170.34	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	50.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1180981, 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 August 27, 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$13,972,082	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,189,467	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,782,615	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,946,641	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$164,026	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$571,027	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$407,001	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $30,521 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,295	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	471	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	380.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	66.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108920, 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, as submitted, processed by CMS on June 26, 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$14,455,924	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,600,741	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,855,183	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,182,797	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$327,614	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$717,523	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$389,909	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $25,994 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,059	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	495	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	251.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	62.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1069005, 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.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$14,540,332	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,311,922	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,228,410	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,529,825	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$301,415	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$747,919	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$446,504	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $25,946 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,663	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	496	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	182.01	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	61.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046658, 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 24, 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$12,436,078	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,470,008	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,966,070	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,624,978	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$658,908	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$735,511	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$76,603	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$186,863 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,277	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	415	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	246.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	77.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1023687, 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.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$9,112,145	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,253,110	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$140,965	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$691,479	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$378,362	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $172,152 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,989	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	300	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.23	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,280.53	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	109.96	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415775, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$7,964,018	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,421,744	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$457,726	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$685,517	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$227,745	CMS-2540-96 worksheet G300000 line 3100 column 100

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

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,355	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	370	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, Medicaid, in days	180.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	87.45	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385732, 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 July 14, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$7,606,962	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,071,082	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$464,120	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$672,088	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$209,504	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$1,536 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,227	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	237	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.14	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	326.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	140.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 350448, 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 July 23, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$7,656,342	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,462,974	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$193,368	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$738,781	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$828,982	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $103,167 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,373	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	224	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.34	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	351.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	148.99	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 318917, 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 July 26, 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$6,812,055	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,059,543	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$247,488	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$80,954	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$803	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$167,337 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,475	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	153	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	427.08	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	218.79	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 289982, 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 August 4, 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$6,715,436	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,680,244	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$35,192	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$399,466	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$149,182	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $285,476 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,460	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	199	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	285.12	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	178.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 260550, 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 19, 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$6,327,137	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,927,098	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$400,039	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$22,366	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $422,405 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,036	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	262	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.64	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	129.91	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 228208, 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 15, 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$4,620,357	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,448,350	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$172,007	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$18,375	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$24,685	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $165,697 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,856	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	209	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.75	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	123.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 207580, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended December 31, 2002

Cost report for May 6, 2002 to December 31, 2002 — a reporting period of 239 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 16, 2005.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$1,463,750	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,547,114	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$83,364	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,828	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$800	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$82,336 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	7,776	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	84	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	92.57	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 207902, read from the public cost report file SNFFY2002.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
JAMALI, MEHRAN	CONTRACTED MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 03/01/2024
APT, FREDERICK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
HANCOCK, MARK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
JERGENSEN, JOSHUA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
MITCHELL, JOHN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
PIERCE, ROBERT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/09/2023
PIERCE, ROBERT	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 08/09/2023

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of JUJUBE HOLDINGS LLC (enrollment ID O20150930001409).

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
PROVIDENCE GROUP NH, LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	6/30/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
JASON H MURRAY	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	41.8	4/15/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARK D HANCOCK	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	41.8	4/15/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PACS GROUP, INC.	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	6/30/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
PACS HOLDINGS, LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	6/30/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
MEHRAN JAMALI	Individual	CONTRACTED MANAGING EMPLOYEE	Not stated in the filing	3/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
FREDERICK G APT	Individual	CORPORATE OFFICER	Not stated in the filing	1/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JOHN T MITCHELL	Individual	CORPORATE OFFICER	Not stated in the filing	1/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JOSHUA O JERGENSEN	Individual	CORPORATE OFFICER	Not stated in the filing	1/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARK D HANCOCK	Individual	CORPORATE OFFICER	Not stated in the filing	1/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ROBERT S PIERCE	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/9/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ROBERT S PIERCE	Individual	W-2 MANAGING EMPLOYEE	Not stated in the filing	8/9/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

August 1, 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: JOSHUA O JERGENSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: MEHRAN JAMALI (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
November 1, 2023: JOHN BENNETT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: BAY BRIDGE CAPITAL PARTNERS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: CALIFORNIA OPCO LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: OPCO HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: PROVIDENCE GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: PROVIDENCE GROUP NH, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: ROBERT S PIERCE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since August 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: ROBERT S PIERCE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since August 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv

Recent changes on this record

August 28, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
June 16, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
August 1, 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: JOSHUA O JERGENSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: MEHRAN JAMALI (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
November 1, 2023: JOHN BENNETT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: BAY BRIDGE CAPITAL PARTNERS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: CALIFORNIA OPCO LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: OPCO HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: PROVIDENCE GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: PROVIDENCE GROUP NH, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: ROBERT S PIERCE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since August 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: ROBERT S PIERCE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since August 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
September 27, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
October 17, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
August 12, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
December 8, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
August 8, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
December 20, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
August 4, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
August 27, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
June 26, 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 24, 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
August 13, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
July 14, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
July 23, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
July 26, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
August 4, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
July 19, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
February 16, 2005: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
February 15, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	October 18, 2024	October 18, 2024	27	8
2	April 10, 2023	April 10, 2023	22	8
3	March 12, 2020	March 12, 2020	19	7

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

Deficiencies cited

68 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
July 1, 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	July 17, 2026
September 11, 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	September 25, 2025
September 11, 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	Yes	Deficient, Provider has date of correction	September 25, 2025
September 11, 2025	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	D	Yes	Deficient, Provider has date of correction	September 25, 2025
July 11, 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	Yes	Deficient, Provider has date of correction	August 4, 2025
July 11, 2025	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	August 4, 2025
October 18, 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.	E	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0574	Resident Rights Deficiencies	The resident has the right to receive notices in a format and a language he or she understands.	D	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0577	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	D	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	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	November 10, 2024
October 18, 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	November 10, 2024
October 18, 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	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.	D	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 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	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	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.	E	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	D	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0802	Nutrition and Dietary Deficiencies	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	E	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 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.	F	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0836	Administration Deficiencies	Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.	D	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	F	No	Deficient, Provider has date of correction	November 10, 2024
October 18, 2024	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	No	Deficient, Provider has date of correction	November 10, 2024
October 3, 2024	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Deficient, Provider has date of correction	October 10, 2024
August 15, 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	August 30, 2024
August 7, 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	August 25, 2024
March 4, 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E	Yes	Deficient, Provider has date of correction	March 19, 2024
February 22, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	March 19, 2024
October 18, 2023	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	October 26, 2023
September 22, 2023	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	Yes	Deficient, Provider has date of correction	October 18, 2023
April 10, 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	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	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	May 9, 2023
April 10, 2023	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	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	D	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	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.	D	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 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	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	E	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0813	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	E	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0825	Quality of Life and Care Deficiencies	Provide or get specialized rehabilitative services as required for a resident.	D	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	May 9, 2023
April 10, 2023	Health	F 0885	Infection Control Deficiencies	Report COVID19 data to residents and families.	E	No	Deficient, Provider has date of correction	May 9, 2023
March 12, 2020	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	April 11, 2020
March 12, 2020	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	April 11, 2020
March 12, 2020	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	April 11, 2020
March 12, 2020	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	April 11, 2020
March 12, 2020	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	April 11, 2020
March 12, 2020	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	April 11, 2020
March 12, 2020	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	No	Deficient, Provider has date of correction	April 11, 2020
March 12, 2020	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	April 11, 2020
March 12, 2020	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	April 11, 2020
March 12, 2020	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	April 11, 2020
March 12, 2020	Health	F 0770	Administration Deficiencies	Provide timely, quality laboratory services/tests to meet the needs of residents.	D	No	Deficient, Provider has date of correction	April 11, 2020
March 12, 2020	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 11, 2020
March 12, 2020	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	April 11, 2020

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	JUJUBE HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid Services	2002-05-06
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Santa Clara
Telephone Number	4082458070
Chain Name	PACS GROUP
Chain ID	690
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	99
Average Number of Residents per Day	94.8
Overall Rating	1
Health Inspection Rating	1
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	4
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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