Skilled nursing facility · CMS certification number 015184
CLOVERDALE REHABILITATION AND WELLNESS
SCOTTSBORO, Alabama · Medicare and Medicaid
Certified beds, as filed in Care Compare: 141
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 1 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,279,271 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $485,773 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,793,498 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,554,648 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $238,850 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $473,477 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $712,327 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $522,351 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 51,465 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,650 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 30,894 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 13,064 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 45,608 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 73 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 125 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 167 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 365 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 247.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445761, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 7 January 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,589,664 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$522,826 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,112,490 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,828,621 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$716,131 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $470,342 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$245,789 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$352,581 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,056 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,211.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 431.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401760, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,486,744 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,040,398 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,527,142 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,335,043 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $192,099 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $409,365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $601,464 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $415,697 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,569 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 302 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 337.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371658, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,193,859 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,046,126 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,239,985 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,104,379 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $135,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,179,679 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,315,285 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,152,196 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,081 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 254 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1339859, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 January 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,959,876 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$977,653 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,937,529 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,878,272 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$940,743 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,034,314 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $93,571 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $19,582 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,612 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 398.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 224.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309470, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 February 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,932,506 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $76,118 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,856,388 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,938,114 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$81,726 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,245 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$64,481 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$138,597 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,129 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 347.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280300, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 December 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,138,300 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $450,979 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,687,321 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,730,778 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$43,457 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,594 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$37,863 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$37,863 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,491 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 269 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 408.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 169.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1247609, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,127,326 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $487,052 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,640,274 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,762,066 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$121,792 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,841 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$118,951 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$118,951 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,574 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 347 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 357.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218718, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 January 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,572,983 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $723,764 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,849,219 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,229,072 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$379,853 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$2,257 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$382,110 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$382,110 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,292 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 414.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182162, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,291,751 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $662,364 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,629,387 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,274,756 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $354,631 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$1,155 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $353,476 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $353,476 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,032 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 329 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 296.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 142.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151945, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 January 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,940,381 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $538,175 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,402,206 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,112,830 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $289,376 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,841 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $297,217 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $297,217 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,180 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 267.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118200, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 February 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,354,895 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $729,611 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,625,284 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,718,761 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$93,477 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $139,862 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $46,385 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $46,385 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,528 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 252 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 388.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 188.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085656, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 January 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,450,711 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $624,374 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,826,337 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,682,881 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $143,456 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,055 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $158,511 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $158,511 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,181 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 279 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 306.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055014, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,406,259 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $542,963 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,863,296 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,872,395 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,099 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,221 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $7,122 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,122 (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 | 141 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,173 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 371 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 246.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024128, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,808,395 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,495,722 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $312,673 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,877 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $324,550 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,332 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 322 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 254.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 146.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423136, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 January 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,693,805 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,321,850 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $371,955 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,323 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $395,278 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,891 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 30 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 363.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,168.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,596.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392955, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 February 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,570,135 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,296,836 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $273,299 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,229 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $296,528 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,838 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 329 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 200.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 145.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363295, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 20 January 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,566,293 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,062,713 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $503,580 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $216,171 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $719,751 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,831 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 278 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 305.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 331613, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 January 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,753,045 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,762,327 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $990,718 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,793 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,021,511 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,172 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 314 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 242.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 153.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301060, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 January 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,100,948 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,603,156 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $497,792 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,151 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $543,943 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,502 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 270 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 286.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270813, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 February 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,394,246 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,457,866 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$63,620 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $532,421 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $468,801 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,613 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 345.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 215.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241995, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 19 January 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,454,768 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,134,451 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $320,317 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $33,722 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $354,039 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,731 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 257 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 270.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 189.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 204170, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 30 June 2003
Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 November 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,052,536 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,905,192 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $147,344 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,772 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $174,116 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,816 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 255 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 256.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 198763, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 30 June 2002
Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,879,420 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,450,466 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $428,954 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,518 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $449,472 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,835 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 239 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 254.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 204.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 170569, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 30 June 2001
Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,892,735 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,645,778 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $246,957 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,403 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $271,360 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,997 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 865.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 140104, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 30 June 2000
Cost report for 1 May 2000 to 30 June 2000 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 3 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $866,381 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $857,760 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $8,621 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,191 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $9,812 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,820 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 19 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 497.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 378.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 411.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 134535, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 30 June 1999
Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 November 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,126,713 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,088,601 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $38,112 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,518 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $52,630 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,410 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 93.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 350.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 291.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79498, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 30 June 1998
Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 October 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,043,901 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,917,808 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $126,093 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,868 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $135,961 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,641 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 181 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 256.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 253.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 252.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79496, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 30 June 1997
Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 April 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,147,038 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,217,011 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$69,973 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,205 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,390 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$76,158 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,974 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 190 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,519.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 220.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79495, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 30 June 1996
Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 March 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,655,586 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,563,191 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $92,395 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $103,503 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,237 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $188,661 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,401 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 156 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 99.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 272.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 252.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79493, read from the public cost report file SNFFY1995.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 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BAZZLE, CHERYL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| DAVIS, BROOKE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/19/2024 |
| QUALITY CARE REHAB INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/10/2023 |
| SIMS, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2022 |
| TRINTIY MANAGEMENT, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/07/2025 |
| SIMS, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2022 |
| SIMS, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2022 |
| SIMS, MARK | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/31/2024 |
| SIMS, MARK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/27/2022 |
| BAZZLE, CHERYL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| DAVIS, BROOKE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/19/2024 |
| SIMS, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2022 |
| SPIVEY, DANNETTE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2022 |
| TRINTIY MANAGEMENT, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2004 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CLOVERDALE HEALTH CARE, INC. (enrollment ID O20061226000064).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| MARK SIMS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BROOKE G DAVIS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/19/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHERYL CARDEN BAZZLE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK SIMS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| QUALITY CARE REHAB INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/10/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRINTIY MANAGEMENT, INC. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/22/2000 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARK SIMS | Individual | CORPORATE DIRECTOR | 100 | 5/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK SIMS | Individual | CORPORATE OFFICER | 100 | 5/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK SIMS | Individual | DIRECT OWNERSHIP INTEREST | 100 | 12/31/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK SIMS | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/27/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BROOKE G DAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/19/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHERYL CARDEN BAZZLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DANNETTE SPIVEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK SIMS | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TRINTIY MANAGEMENT, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 10/1/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 September 2025: SAMANTHA GAMBLE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BRADLEY D. LONG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BRADLEY D. LONG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BRADLEY D. LONG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BRADLEY D. LONG no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: TRINTIY MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CHERYL CARDEN BAZZLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CHERYL CARDEN BAZZLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BROOKE G DAVIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BROOKE G DAVIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DANNETTE SPIVEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK SIMS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK SIMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK SIMS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: QUALITY CARE REHAB INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 14 April 2023: WILLIAM L. LEMLEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: WILLIAM L. LEMLEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: WILLIAM L. LEMLEY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: WILLIAM L. LEMLEY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- 30 December 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 1 September 2025: SAMANTHA GAMBLE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BRADLEY D. LONG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BRADLEY D. LONG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BRADLEY D. LONG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BRADLEY D. LONG no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: TRINTIY MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CHERYL CARDEN BAZZLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CHERYL CARDEN BAZZLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BROOKE G DAVIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BROOKE G DAVIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DANNETTE SPIVEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK SIMS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK SIMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK SIMS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: QUALITY CARE REHAB INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 7 January 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 16 January 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 14 April 2023: WILLIAM L. LEMLEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: WILLIAM L. LEMLEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: WILLIAM L. LEMLEY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: WILLIAM L. LEMLEY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 17 January 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 27 January 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 18 February 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 12 December 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 31 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 18 January 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 26 January 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 28 January 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 10 February 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 31 January 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 28 January 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 18 January 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 21 January 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 1 February 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 20 January 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 24 January 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 22 January 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 31 March 2022 | 31 March 2022 | 2 | 2 |
| 2 | 8 August 2019 | 8 August 2019 | 0 | 1 |
| 3 | 14 June 2018 | 14 June 2018 | 3 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
5 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 31 March 2022 | 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 | 6 May 2022 |
| 31 March 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 6 May 2022 |
| 14 June 2018 | 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. | G | No | Past Non-Compliance | 5 June 2018 |
| 14 June 2018 | 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 | No | Past Non-Compliance | 5 June 2018 |
| 14 June 2018 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 19 July 2018 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | CLOVERDALE HEALTH CARE, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1977-08-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Jackson |
| Telephone Number | 2562591505 |
| Chain Name | TRINITY MANAGEMENT, INC. |
| Chain ID | 527 |
| 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 | 141 |
| Average Number of Residents per Day | 121.9 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on CLOVERDALE REHABILITATION AND WELLNESS: 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 30 December 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for CLOVERDALE REHABILITATION AND WELLNESS
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 Alabama 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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