Skilled nursing facility · CMS certification number 555867
FOREST HILL MANOR HEALTH CENTER
PACIFIC GROVE, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 26
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: 1 · Fines: 1 · Fines, total amount: $8,278.00 · Payment denials: 0. The most recent penalty on file: October 1, 2025, Fine, $8,278. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on June 27, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,846,133 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,396,440 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,242,573 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,849,168 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,393,405 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $2,393,405 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,393,400 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 9,516 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,423 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,349 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 7,777 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 240 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 37 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 287 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 0.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 27.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1432353, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for December 6, 2022 to December 31, 2023 — a reporting period of 390 days, on form CMS-2540-10, settled, processed by CMS on September 24, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,416,202 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,531,772 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,884,430 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,176,277 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,708,153 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $73,222 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,781,375 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,781,375 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,555 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 212 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 40.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395733, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 5, 2022
Cost report for July 1, 2022 to December 5, 2022 — a reporting period of 157 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 26, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,235,532 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$27,231 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,262,763 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,176,135 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,913,372 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,405,633 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,507,739 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,508,448 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 2,695 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 33.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405837, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,643,005 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$18,398 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,661,403 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,402,861 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,741,458 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,055,325 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,686,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,694,895 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,276 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 66.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309831, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,691,676 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $112,425 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,579,251 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,685,121 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,105,870 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,797,605 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,308,265 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,310,664 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,919 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 83.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280233, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,583,593 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $301,753 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,281,840 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,863,340 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,581,500 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,666,442 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,915,058 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,915,058 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,264 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1248953, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 10, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,397,832 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $557,672 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,840,160 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,684,631 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,844,471 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,119,043 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,725,428 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,744,659 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,033 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 127 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 47.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1215325, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 29, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,300,845 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $787,135 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,513,710 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,410,511 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,896,801 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,134,326 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,762,475 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,773,665 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,635 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 38.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181693, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,074,389 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $977,716 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,096,673 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,193,546 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,096,873 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,741,770 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,355,103 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,345,123 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,130 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 42.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150915, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,697,666 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,265,037 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,432,629 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,466,351 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,033,722 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,777,195 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,256,527 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,328,273 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,795 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 69.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117016, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 14, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,742,032 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,492,111 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,249,921 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,198,751 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,948,830 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,247,552 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,701,278 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,787,005 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,838 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 92.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1083884, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,911,575 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,513,370 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,398,205 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,183,735 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,785,530 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,354,432 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,431,098 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,512,502 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,508 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 75.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1054760, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,551,273 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,278,369 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,272,904 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,899,272 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,626,368 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,427,862 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,198,506 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,247,862 (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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,703 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 84.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023710, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for September 23, 2010 to June 30, 2011 — a reporting period of 280 days, not a full year, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $544,522 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,382,439 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,837,917 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,668,363 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $63,860 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$2,233,414 (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 | 26 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 3,349 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 44 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 76.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422936, read from the public cost report file SNFFY2010.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 |
|---|---|---|---|---|
| ACOSTA, MARIAH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/16/2025 |
| CALABAZARON, REDENTOR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/14/2022 |
| CHINTHAKINDI, RAVI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/21/2022 |
| FUENTES, RAY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/06/2022 |
| PIQUE, JANNET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/23/2023 |
| TAYLOR, RYAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/08/2023 |
| THAPA, NISCHAL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/06/2024 |
| ACOSTA, MARIAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/16/2025 |
| CALABAZARON, REDENTOR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/14/2022 |
| CHINTHAKINDI, RAVI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/21/2022 |
| FUENTES, RAY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/06/2022 |
| PIQUE, JANNET | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/23/2023 |
| TAYLOR, RYAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/08/2023 |
| THAPA, NISCHAL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/06/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of 551 GIBSON AVE SNF LLC (enrollment ID O20230202002579).
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 |
|---|---|---|---|---|---|
| BVHC, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/6/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRYAN BOEHRER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 12/6/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD MARTIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 12/6/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANNET PIQUE | Individual | ADP OF THE SNF | Not stated in the filing | 5/23/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIAH ACOSTA | Individual | ADP OF THE SNF | Not stated in the filing | 2/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NISCHAL THAPA | Individual | ADP OF THE SNF | Not stated in the filing | 8/6/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAVI CHINTHAKINDI | Individual | ADP OF THE SNF | Not stated in the filing | 11/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAY FUENTES | Individual | ADP OF THE SNF | Not stated in the filing | 12/6/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REDENTOR BATIN CALABAZARON | Individual | ADP OF THE SNF | Not stated in the filing | 2/14/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RYAN TAYLOR | Individual | ADP OF THE SNF | Not stated in the filing | 5/8/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANNET PIQUE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/23/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIAH ACOSTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NISCHAL THAPA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/6/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAVI CHINTHAKINDI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAY FUENTES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/6/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REDENTOR BATIN CALABAZARON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/14/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RYAN TAYLOR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/8/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- May 1, 2026: RICHARD MARTIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RICHARD MARTIN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRYAN BOEHRER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JANNET PIQUE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JANNET PIQUE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RYAN TAYLOR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RYAN TAYLOR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RAVI CHINTHAKINDI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RAVI CHINTHAKINDI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: REDENTOR BATIN CALABAZARON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: REDENTOR BATIN CALABAZARON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: NISCHAL THAPA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 6, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: NISCHAL THAPA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 6, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RAY FUENTES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RAY FUENTES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MARIAH ACOSTA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MARIAH ACOSTA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- August 1, 2024: ROBERT HUBBARD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: ROBERT LEEPER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: GARRETT CROSS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: DAVID R HOLLEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: MARLENE P GETCHELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: TAMARA SOLARI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JAMES R WARK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: PAUL S THOMSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: NANCELLA S SUE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: DONNA J BRANDT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: WILLIAM F RIESS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: PAUL EXTRUM-FERNANDEZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: DONALD W MATHEWS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: RICHARD MARTIN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: RICHARD MARTIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: RICHARD MARTIN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BRYAN BOEHRER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BRYAN BOEHRER (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BVHC, 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 December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
Recent changes on this record
- May 1, 2026: RICHARD MARTIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RICHARD MARTIN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRYAN BOEHRER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JANNET PIQUE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JANNET PIQUE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RYAN TAYLOR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RYAN TAYLOR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RAVI CHINTHAKINDI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RAVI CHINTHAKINDI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: REDENTOR BATIN CALABAZARON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: REDENTOR BATIN CALABAZARON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: NISCHAL THAPA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 6, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: NISCHAL THAPA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 6, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RAY FUENTES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RAY FUENTES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MARIAH ACOSTA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MARIAH ACOSTA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- June 27, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 26, 2025: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 24, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 1, 2024: ROBERT HUBBARD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: ROBERT LEEPER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: GARRETT CROSS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: DAVID R HOLLEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: MARLENE P GETCHELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: TAMARA SOLARI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JAMES R WARK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: PAUL S THOMSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: NANCELLA S SUE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: DONNA J BRANDT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: WILLIAM F RIESS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: PAUL EXTRUM-FERNANDEZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: DONALD W MATHEWS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: RICHARD MARTIN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: RICHARD MARTIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: RICHARD MARTIN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BRYAN BOEHRER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BRYAN BOEHRER (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BVHC, 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 December 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- February 15, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 25, 2025 | April 25, 2025 | 8 | 5 |
| 2 | January 23, 2024 | January 23, 2024 | 12 | 22 |
| 3 | August 5, 2022 | August 5, 2022 | 8 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
28 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 10, 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 | May 1, 2026 |
| October 1, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | October 20, 2025 |
| April 25, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 25, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 25, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 25, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 25, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 25, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| January 23, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | February 9, 2024 |
| January 23, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | February 9, 2024 |
| January 23, 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | February 9, 2024 |
| January 23, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | February 9, 2024 |
| January 23, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | F | No | Deficient, Provider has date of correction | February 9, 2024 |
| January 23, 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 | February 9, 2024 |
| January 23, 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 | February 9, 2024 |
| January 23, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | February 9, 2024 |
| January 23, 2024 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | No | Deficient, Provider has date of correction | February 9, 2024 |
| January 23, 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 | February 9, 2024 |
| January 23, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | February 9, 2024 |
| January 23, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | February 9, 2024 |
| August 5, 2022 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | September 4, 2022 |
| August 5, 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | September 4, 2022 |
| August 5, 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. | D | No | Deficient, Provider has date of correction | September 4, 2022 |
| August 5, 2022 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | September 4, 2022 |
| August 5, 2022 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | September 4, 2022 |
| August 5, 2022 | Health | F 0800 | Nutrition and Dietary Deficiencies | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | No | Deficient, Provider has date of correction | September 4, 2022 |
| August 5, 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. | E | No | Deficient, Provider has date of correction | September 4, 2022 |
| August 5, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | September 4, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| October 1, 2025 | Fine | $8,278 | 135664 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | 551 GIBSON AVE SNF LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2010-09-23 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Monterey |
| Telephone Number | 8316575200 |
| Chain Name | BVHC, LLC |
| Chain ID | 82 |
| 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 | 26 |
| Average Number of Residents per Day | 24.6 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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On June 27, 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 FOREST HILL MANOR HEALTH CENTER
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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