Skilled nursing facility · CMS certification number 555798

WOODSIDE HEALTHCARE CENTER

SACRAMENTO, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 58

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, settled, processed by CMS on June 13, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$14,132,650	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,246,007	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,886,643	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,310,939	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,575,704	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,984	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,578,688	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,578,688 (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	59	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	21,594	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	4,398	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	1,310	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	14,500	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	20,208	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	110	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	7	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	244	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	361	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	187.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	55.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1429179, 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 15, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$7,946,482	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$2,329,284	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,275,766	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,338,262	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$937,504	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,396	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$938,900	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $938,900 (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	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,502	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	388	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,833.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	50.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392328, 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 July 24, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$7,739,311	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$2,395,700	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,135,011	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,791,946	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,343,065	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,188	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,345,253	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,345,253 (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	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,528	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	521	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	116.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	37.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359701, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 29, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$7,401,743	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$135,706	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,537,449	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,208,866	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$671,417	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$187,274	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$484,143	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$484,143 (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	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,186	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	348	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	395.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	55.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334646, 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 December 10, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,675,185	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,344,622	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,019,807	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,152,075	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$867,732	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$42,213	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$909,945	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $909,945 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,427	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	276	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	107.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	70.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1306906, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended March 19, 2019

Cost report for January 1, 2019 to March 19, 2019 — a reporting period of 77 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 5, 2026.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$1,724,619	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$356,957	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,367,662	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,430,741	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$63,079	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,335	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$53,744	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$53,744 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	4,776	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	55	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	175.47	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	86.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450252, 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 27, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$7,686,513	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,105,304	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,581,209	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,287,837	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$293,372	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$20,614	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$313,986	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $313,986 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,237	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	205	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	287.32	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	93.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242572, 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 27, 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$7,385,519	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,729,864	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,655,655	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,959,780	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$695,875	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$28,272	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$724,147	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $724,147 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,453	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	261	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.51	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	199.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	74.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210755, 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 September 17, 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$6,131,379	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$848,894	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,282,485	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,779,974	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$502,511	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$57,650	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$560,161	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $560,161 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,985	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	210	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	290.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	95.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1211673, 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 August 22, 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$6,133,427	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$684,348	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,449,079	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,776,348	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$672,731	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$127,429	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$800,160	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $800,160 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,863	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	181	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	276.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	109.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142205, 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 19, 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$6,239,028	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$625,228	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,613,800	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,786,969	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$826,831	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,039	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$833,870	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $833,870 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,338	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	237	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.41	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	258.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	81.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108251, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 26, 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$6,941,759	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$954,523	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,987,236	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,997,526	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$989,710	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,870	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$996,580	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $996,580 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,661	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	258	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	211.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	76.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1077121, 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	$6,490,325	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,127,492	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,362,833	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,686,688	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$676,145	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,036	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$686,181	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $686,181 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,702	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	159	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	117.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046660, 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	$6,153,618	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$398,718	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,754,900	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,598,283	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,156,617	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$22,112	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,178,729	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,178,729 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,305	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	193	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	324.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	100.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1023691, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 30, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$5,006,203	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,254,326	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$751,877	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,993	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $757,870 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,745	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	203	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.4	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	223.02	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	92.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 409287, 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	$4,100,826	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,795,301	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$305,525	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,080	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $311,605 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,298	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	142	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	372.39	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	135.9	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385733, 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 21, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$4,467,182	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,927,283	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$539,899	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$57,886	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $597,785 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,029	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	112	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	507.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	178.83	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 351773, 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	$4,077,797	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,731,209	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$346,588	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$19,850	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $366,438 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,631	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	112	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	511.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	175.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 319896, 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 30, 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,719,854	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,705,666	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,014,188	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,394	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$800	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $1,023,782 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,605	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	116	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	348.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	169.01	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 290145, 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 18, 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,936,734	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,948,375	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$11,641	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,062	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$6,579 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,694	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	229	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.05	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	170.86	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	81.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 263289, 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 13, 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,842,523	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,815,074	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$27,449	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,092	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $34,541 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,808	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	104	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.98	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	403.53	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	190.46	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 227503, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for November 5, 2002 to December 31, 2003 — a reporting period of 421 days, on form CMS-2540-96, settled, processed by CMS on January 19, 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$1,875,903	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,546,847	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$670,944	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,517	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$666,427 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	12,532	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	104	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.39	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	249.53	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	120.5	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 204031, read from the public cost report file SNFFY2003.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
BARKOVSKII, DMITRII	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/30/2025
BEAM, REBECCA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2019
FASTOVICH, LYUBOV	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/29/2021
JACKSON, MATTHEW	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2019
KLIMOVICH, IRINA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/16/2021
LEE, MAI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/12/2024
PASTRANO-OCLARINO, MYLA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/09/2021
PORTELA, ALICIA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/01/2021
REYNA, CHRISTIAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2024
TRUKHAN, OLGA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/29/2021
JACKSON, MATTHEW	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2019
JACKSON, ROBERT	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2019
SANOFSKY, JACK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/20/2019
CYPRESS HEALTHCARE GROUP LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 09/29/2023
BARKOVSKII, DMITRII	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/30/2025
BEAM, REBECCA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2019
FASTOVICH, LYUBOV	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/29/2021
JACKSON, MATTHEW	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2019
KLIMOVICH, IRINA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/29/2023
LEE, MAI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/12/2024
PASTRANO-OCLARINO, MYLA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/09/2021
PORTELA, ALICIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2021
REYNA, CHRISTIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2024
TRUKHAN, OLGA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/29/2021

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of COTTONS LLC (enrollment ID O20190506002241).

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
CYPRESS HEALTHCARE GROUP LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	9/29/2023	Private equity company: No Real estate investment trust: No Holding company: No
JACK SANOFSKY	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33.33	3/20/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MATTHEW JACKSON	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33.33	4/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ROBERT JACKSON	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33.33	4/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ALICIA PORTELA	Individual	ADP OF THE SNF	Not stated in the filing	2/1/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CHRISTIAN G REYNA	Individual	ADP OF THE SNF	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
DMITRII BARKOVSKII	Individual	ADP OF THE SNF	Not stated in the filing	1/30/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
IRINA KLIMOVICH	Individual	ADP OF THE SNF	Not stated in the filing	9/16/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JACK SANOFSKY	Individual	ADP OF THE SNF	Not stated in the filing	3/20/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LYUBOV FASTOVICH	Individual	ADP OF THE SNF	Not stated in the filing	3/29/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MAI LEE	Individual	ADP OF THE SNF	Not stated in the filing	2/12/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MATTHEW JACKSON	Individual	ADP OF THE SNF	Not stated in the filing	4/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MYLA PASTRANO-OCLARINO	Individual	ADP OF THE SNF	Not stated in the filing	3/9/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
OLGA TRUKHAN	Individual	ADP OF THE SNF	Not stated in the filing	3/29/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
REBECCA BEAM	Individual	ADP OF THE SNF	Not stated in the filing	4/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ROBERT JACKSON	Individual	ADP OF THE SNF	Not stated in the filing	4/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MATTHEW JACKSON	Individual	CORPORATE DIRECTOR	33.33	4/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JACK SANOFSKY	Individual	CORPORATE OFFICER	33.33	3/20/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ROBERT JACKSON	Individual	CORPORATE OFFICER	33.33	4/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CYPRESS HEALTHCARE GROUP LLC	Organization	DIRECT OWNERSHIP INTEREST	Not stated in the filing	9/29/2023	Private equity company: No Real estate investment trust: No Holding company: No
ALICIA PORTELA	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	2/1/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CHRISTIAN G REYNA	Individual	OPERATIONAL/MANAGERIAL CONTROL	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
DMITRII BARKOVSKII	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/30/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
IRINA KLIMOVICH	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	9/29/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JACK SANOFSKY	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	3/20/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LYUBOV FASTOVICH	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	3/29/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MAI LEE	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	2/12/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MATTHEW JACKSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	4/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MYLA PASTRANO-OCLARINO	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	3/9/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
OLGA TRUKHAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	3/29/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
REBECCA BEAM	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	4/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ROBERT JACKSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	4/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

September 1, 2026: SANOFSKY, JACK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: JACKSON, ROBERT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: SANOFSKY, JACK no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: JACKSON, ROBERT no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
October 1, 2025: JACK SANOFSKY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: ROBERT JACKSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: TRINA KAPLOW no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: MYLA PASTRANO-OCLARINO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: MYLA PASTRANO-OCLARINO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: CHRISTIAN G REYNA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: CHRISTIAN G REYNA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: JACK SANOFSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 20, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: JACK SANOFSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 20, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: JACK SANOFSKY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 20, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: ALICIA PORTELA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: ALICIA PORTELA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: ROBERT JACKSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: ROBERT JACKSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: ROBERT JACKSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: MATTHEW JACKSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: MATTHEW JACKSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: LYUBOV FASTOVICH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: LYUBOV FASTOVICH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: IRINA KLIMOVICH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 16, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: IRINA KLIMOVICH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 29, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: MAI LEE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: MAI LEE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: DMITRII BARKOVSKII (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: DMITRII BARKOVSKII (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: REBECCA BEAM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: REBECCA BEAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: OLGA TRUKHAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: OLGA TRUKHAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: CYPRESS HEALTHCARE GROUP LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 29, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
August 1, 2024: COTTONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: CYPRESS HEALTHCARE GROUP LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: CYPRESS HEALTHCARE GROUP LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since March 20, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv

Recent changes on this record

September 1, 2026: SANOFSKY, JACK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: JACKSON, ROBERT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: SANOFSKY, JACK no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: JACKSON, ROBERT no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
June 5, 2026: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
October 1, 2025: JACK SANOFSKY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: ROBERT JACKSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: TRINA KAPLOW no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: MYLA PASTRANO-OCLARINO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: MYLA PASTRANO-OCLARINO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: CHRISTIAN G REYNA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: CHRISTIAN G REYNA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: JACK SANOFSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 20, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: JACK SANOFSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 20, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: JACK SANOFSKY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 20, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: ALICIA PORTELA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: ALICIA PORTELA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: ROBERT JACKSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: ROBERT JACKSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: ROBERT JACKSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: MATTHEW JACKSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: MATTHEW JACKSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: LYUBOV FASTOVICH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: LYUBOV FASTOVICH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: IRINA KLIMOVICH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 16, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: IRINA KLIMOVICH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 29, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: MAI LEE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: MAI LEE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: DMITRII BARKOVSKII (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: DMITRII BARKOVSKII (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: REBECCA BEAM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: REBECCA BEAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: OLGA TRUKHAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: OLGA TRUKHAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
October 1, 2025: CYPRESS HEALTHCARE GROUP LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 29, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
June 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
August 15, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
August 1, 2024: COTTONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: CYPRESS HEALTHCARE GROUP LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: CYPRESS HEALTHCARE GROUP LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since March 20, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	November 22, 2024	November 22, 2024	9	11
2	November 2, 2023	November 2, 2023	4	9
3	December 3, 2021	December 3, 2021	8	10

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

Deficiencies cited

21 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
November 22, 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	December 16, 2024
November 22, 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.	E	No	Deficient, Provider has date of correction	December 16, 2024
November 22, 2024	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.	E	No	Deficient, Provider has date of correction	December 16, 2024
November 22, 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	December 16, 2024
November 22, 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	December 16, 2024
November 22, 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	December 16, 2024
November 22, 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	December 16, 2024
November 22, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	December 16, 2024
November 22, 2024	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D	No	Deficient, Provider has date of correction	December 16, 2024
November 2, 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	November 17, 2023
November 2, 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.	E	No	Deficient, Provider has date of correction	November 17, 2023
November 2, 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.	F	No	Deficient, Provider has date of correction	November 17, 2023
November 2, 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	November 17, 2023
December 3, 2021	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E	No	Deficient, Provider has date of correction	January 22, 2022
December 3, 2021	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E	No	Deficient, Provider has date of correction	January 22, 2022
December 3, 2021	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	January 22, 2022
December 3, 2021	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.	E	No	Deficient, Provider has date of correction	January 22, 2022
December 3, 2021	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	January 22, 2022
December 3, 2021	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	January 22, 2022
December 3, 2021	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	January 22, 2022
December 3, 2021	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	D	No	Deficient, Provider has date of correction	January 22, 2022

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 - Corporation
Legal Business Name	COTTONS LLC
Date First Approved to Provide Medicare and Medicaid Services	2002-11-05
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Sacramento
Telephone Number	9169279300
Chain Name	CYPRESS HEALTHCARE GROUP
Chain ID	175
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	58
Average Number of Residents per Day	55.4
Overall Rating	5
Health Inspection Rating	4
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	3
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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