Skilled nursing facility · CMS certification number 555861
GRAND OAKS CARE
TULARE, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 99
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 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 August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,193,414 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,710,384 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,483,030 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,767,157 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,715,873 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$265 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,715,608 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,715,608 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 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 | 2,456 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,868 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,992 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 33,316 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 54 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 64 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 78 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 196 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 357.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 169.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438350, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,962,372 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$3,491,779 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,454,151 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,809,016 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,645,135 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $586 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,645,721 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,645,721 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,191 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 330 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 120.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395569, 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 25, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,480,009 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $171,914 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,308,095 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,623,686 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $684,409 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $53 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $684,462 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $684,462 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,431 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 201 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 253.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365398, 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 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,439,969 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,447,572 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,887,541 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,919,912 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,032,371 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $170,110 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$862,261 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$907,012 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,501 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 225 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 113.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 163.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333475, 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, as submitted, processed by CMS on September 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,750,923 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$759,104 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,510,027 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,795,239 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $714,788 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $755,422 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,470,210 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,463,410 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,260 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 231 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 120.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 182.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1299008, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for May 1, 2019 to December 31, 2019 — a reporting period of 244 days, not a full year, on form CMS-2540-10, as submitted, processed by CMS on October 14, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,038,918 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,252,786 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,786,132 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,588,293 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $197,839 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $145 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $197,984 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $197,984 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,879 | 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 | 42.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 248.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1271330, 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 23, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,789,854 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,647,558 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,142,296 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,444,771 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$302,475 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $268 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$302,207 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$302,207 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,269 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 179 | 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 | 408.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 185.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242242, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,711,897 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,722,912 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,988,985 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,672,560 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,683,575 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,170 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,682,405 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,682,405 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,210 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 144.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,351.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 480.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209937, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,669,703 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,867,736 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,801,967 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,676,844 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $125,123 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,777 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $133,900 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $133,900 (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%).
| 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 | 33,209 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 443.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174442, 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 23, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,320,438 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,409,735 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,910,703 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,013,496 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$102,793 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,220 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$99,573 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$99,575 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,027 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 221 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 485.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142383, 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 10, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,377,788 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,636,186 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,741,602 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,964,189 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$222,587 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $175 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$222,412 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$222,412 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,289 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 315 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 164.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107210, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,307,926 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,857,173 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,450,753 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,032,977 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$582,224 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$582,190 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$582,190 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,262 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 342 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 195.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077117, 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 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,573,288 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,730,348 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,842,940 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,838,438 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,502 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$6,809 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,307 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,307 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,001 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 331 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 233.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044962, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,170,638 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,792,969 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,377,669 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,373,853 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,816 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $725 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,541 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,541 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,166 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 537 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 115.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023707, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,975,879 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,883,821 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $92,058 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$3,474 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $88,584 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,691 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 511 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 126.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 56.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415787, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for June 26, 2009 to December 31, 2009 — a reporting period of 188 days, not a full year, on form CMS-2540-96, settled, processed by CMS on July 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,125,713 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,732,521 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$606,808 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,951 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$604,857 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,235 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 129 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 344.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 63.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 383862, read from the public cost report file SNFFY2009.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| SWC CA OPCO 2 LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2022 |
| CHESLEY, AARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | since 05/01/2022 |
| CHESLEY, AARON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2022 |
| GAMETT, JAMES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2022 |
| LAWRENCE, MICHELLE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 05/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GRAND OAKS CARE LLC (enrollment ID O20230726002025).
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 |
|---|---|---|---|---|---|
| SWC CA OPCO 2 LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| AARON CHESLEY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AJC HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES B GAMETT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JBG PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| AARON CHESLEY | Individual | CORPORATE OFFICER | Not stated in the filing | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES B GAMETT | Individual | CORPORATE OFFICER | Not stated in the filing | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELLE LAWRENCE | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 1, 2024: LINDSEY MOYLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: THOMAS SKIBA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: MAGNOLIA HEALTH CORPORATION no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KENSETT MOYLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: BARBRA MCCLUNG no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KENSETT MOYLE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KENSETT MOYLE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KENSETT MOYLE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KASEY ROBERTSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JBG PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JAMES B GAMETT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JAMES B GAMETT (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: AARON CHESLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: AARON CHESLEY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SWC CA OPCO 2 LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: AJC HEALTHCARE LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: MICHELLE LAWRENCE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
Recent changes on this record
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- November 1, 2024: LINDSEY MOYLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: THOMAS SKIBA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: MAGNOLIA HEALTH CORPORATION no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KENSETT MOYLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: BARBRA MCCLUNG no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KENSETT MOYLE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KENSETT MOYLE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KENSETT MOYLE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KASEY ROBERTSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JBG PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JAMES B GAMETT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JAMES B GAMETT (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: AARON CHESLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: AARON CHESLEY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SWC CA OPCO 2 LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: AJC HEALTHCARE LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: MICHELLE LAWRENCE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- September 23, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 25, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 16, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- October 14, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- March 25, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 23, 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
- August 22, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 23, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 10, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 26, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 1, 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
- July 27, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 12, 2026 | February 12, 2026 | 8 | 5 |
| 2 | October 10, 2024 | October 10, 2024 | 21 | 8 |
| 3 | October 13, 2022 | October 13, 2022 | 26 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
55 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 12, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | March 31, 2026 |
| February 12, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | February 23, 2026 |
| February 12, 2026 | 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 | February 23, 2026 |
| February 12, 2026 | 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 | February 23, 2026 |
| February 12, 2026 | 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 | February 23, 2026 |
| February 12, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | February 23, 2026 |
| February 12, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | February 23, 2026 |
| September 2, 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Yes | Deficient, Provider has date of correction | September 3, 2025 |
| July 29, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Past Non-Compliance | |
| July 3, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| May 9, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | May 9, 2025 |
| January 29, 2025 | 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 | Yes | Deficient, Provider has date of correction | February 13, 2025 |
| October 10, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 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. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 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 | October 24, 2024 |
| October 10, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 2024 | 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 | October 24, 2024 |
| October 10, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 2024 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 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. | D | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 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 | October 24, 2024 |
| October 10, 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 10, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| June 20, 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 | June 21, 2024 |
| June 20, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0837 | Administration Deficiencies | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | E | Yes | Deficient, Provider has date of correction | June 21, 2024 |
| May 7, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | May 8, 2024 |
| May 7, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | May 8, 2024 |
| April 23, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | April 25, 2024 |
| February 13, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | February 29, 2024 |
| February 7, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | February 29, 2024 |
| February 7, 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. | D | Yes | Deficient, Provider has date of correction | February 29, 2024 |
| December 22, 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 | Yes | Deficient, Provider has date of correction | January 22, 2024 |
| December 22, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | January 22, 2024 |
| November 2, 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Yes | Deficient, Provider has date of correction | December 28, 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. | D | Yes | Deficient, Provider has date of correction | December 28, 2023 |
| October 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 | Yes | Deficient, Provider has date of correction | October 30, 2023 |
| October 13, 2022 | 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 17, 2022 |
| October 13, 2022 | 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 17, 2022 |
| October 13, 2022 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | No | Deficient, Provider has date of correction | November 17, 2022 |
| October 13, 2022 | 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 | November 17, 2022 |
| October 13, 2022 | 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 | November 17, 2022 |
| October 13, 2022 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | November 17, 2022 |
| October 13, 2022 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | No | Deficient, Provider has date of correction | November 17, 2022 |
| October 13, 2022 | 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, 2022 |
| October 13, 2022 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | November 17, 2022 |
| October 13, 2022 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | November 17, 2022 |
| October 13, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | November 17, 2022 |
| October 13, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | November 17, 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 - Limited Liability company |
| Legal Business Name | GRAND OAKS CARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2009-06-26 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Tulare |
| Telephone Number | 5596871340 |
| Chain Name | AJC HEALTHCARE |
| Chain ID | 616 |
| 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 | 93.2 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| 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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One email a day naming what moved on GRAND OAKS CARE: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for GRAND OAKS CARE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 555861.