Skilled nursing facility · CMS certification number 035100
Havasu Nursing Center
LAKE HAVASU CITY, Arizona · Medicare and Medicaid
Certified beds, as filed in Care Compare: 118
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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,737,682 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,918,313 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,819,369 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,382,436 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$563,067 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $547,365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$15,702 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$15,702 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,188 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,660 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,165 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,452 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 14,277 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 86 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 36 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 191 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 313 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 226.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1432857, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,577,281 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,829,635 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,747,646 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,354,787 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$607,141 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $886,103 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $278,962 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $278,962 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,313 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 275 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 165.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393689, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,867,261 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,011,692 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,855,569 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,676,121 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$820,552 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $883,160 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $62,608 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $62,608 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,455 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 309 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 167.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361177, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,839,938 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,394,878 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,445,060 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,075,592 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$630,532 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $531,596 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$98,936 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$98,936 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,052 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 315 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 264.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331014, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,168,825 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $968,682 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,200,143 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,235,834 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$35,691 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,315,391 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,279,700 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,279,702 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,482 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 281 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1299815, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,330,563 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,021,879 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,308,684 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,405,163 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$96,479 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $57,971 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$38,508 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$38,507 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,097 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 358 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1261333, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,330,019 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,822,988 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,507,031 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,370,936 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $136,095 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $96,762 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $232,857 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $232,857 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,163 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 419 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 144.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236614, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,900,362 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,163,284 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,737,078 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,613,409 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $123,669 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,522 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $161,191 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $161,191 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,069 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 455 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1199608, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,761,398 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,218,149 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,543,249 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,076,148 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $467,101 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $62,488 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $529,589 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $529,589 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,217 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 429 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 122.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 51.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171627, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,213,697 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,650,909 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,562,788 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,329,027 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $233,761 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,619 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $235,380 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $235,380 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,479 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 3,867 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 2.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 14.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 6.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1140799, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,428,154 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,641,611 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,786,543 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,718,935 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $67,608 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,898 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $100,506 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $100,506 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,116 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 485 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 195.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106220, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 June 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,421,282 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,996,071 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,425,211 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,535,248 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$110,037 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,181 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$104,856 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$104,856 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,004 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 394 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 209.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1069782, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,568,872 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,338,529 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,230,343 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,727,631 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$497,288 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,916 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$462,372 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$462,372 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,311 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 244 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 219.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1041655, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,147,008 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $902,787 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,244,221 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,548,804 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$304,583 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,670 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$276,913 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$276,913 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,572 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 222 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1010336, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 June 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,811,113 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,994,099 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$182,986 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,041 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$145,945 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,120 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 276 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 192.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 409119, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 June 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,842,861 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,533,407 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $309,454 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,701 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $336,155 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,471 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 299 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 301.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 95.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 372214, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 4 June 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,260,669 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,898,510 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $362,159 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,053 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $404,212 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,220 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 232 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 410.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 117.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 341954, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 July 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,277,373 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,830,256 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $447,117 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $109,689 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $556,806 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,810 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 276 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 294.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 320108, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 July 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,874,268 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,524,766 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $349,502 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $80,251 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $429,753 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,355 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 246 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 323.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 115.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 288910, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 June 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,853,913 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,633,135 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $220,778 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,541 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $288,319 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,858 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 197 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 412.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 151.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 253806, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 June 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,236,755 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,951,833 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $284,922 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,256 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $357,178 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,328 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 228 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 341.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 146.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 224668, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 July 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,452,075 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,981,700 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $470,375 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,984 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $510,359 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,590 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 276 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 312.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 188195, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 November 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,168,324 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,810,741 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $357,583 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,865 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $393,448 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,725 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 280 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 306.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 200697, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 June 2001 to 31 December 2001 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 2 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,038,584 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,987,913 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $50,671 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,613 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $54,284 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,369 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 235.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 110.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169854, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 May 2000
Cost report for 1 June 1999 to 31 May 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 2 November 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,911,623 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,924,347 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$12,724 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $88,841 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $76,117 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,860 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 225 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 358.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79935, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 31 May 1999
Cost report for 1 June 1998 to 31 May 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 April 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,624,529 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,626,105 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,576 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$12,415 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$13,991 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,808 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 185 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 166.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79933, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 31 May 1998
Cost report for 1 July 1997 to 31 May 1998 — a reporting period of 334 days, on form CMS-2540-96, as submitted, processed by CMS on 26 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,306,755 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,491,954 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$185,199 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$18,641 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$203,840 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,717 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 159.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79932, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 30 June 1997
Cost report for 1 January 1997 to 30 June 1997 — a reporting period of 180 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 24 March 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,894,995 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,753,771 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $141,224 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,202 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $150,426 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,291 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 162 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 119.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79931, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 09/26/1996 |
| AGH1 LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/25/2025 |
| BEAIRD, TODD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2022 |
| CIRCLE B ENTERPRISES HOLDING COMPANY INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/26/1996 |
| FG LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/02/2016 |
| FORVIS MAZARS LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/16/2021 |
| MID STATES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2010 |
| ONG-VELOSO, ANGELO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2012 |
| SMITH, STACY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/02/2026 |
| SOVEREIGN HEALTHCARE GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/06/2025 |
| VAN DE VEN LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2000 |
| BEDELL, DONALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/30/1997 |
| BEAIRD, TODD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2022 |
| BEDELL, DONALD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/30/1997 |
| BEDELL, BRYAN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/12/2025 |
| AGH1 LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/02/2016 |
| BEDELL, DONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/30/1997 |
| ONG-VELOSO, ANGELO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2012 |
| SMITH, STACY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/02/2026 |
| SOVEREIGN HEALTHCARE GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/23/2021 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HAVASU NURSING CENTER #2 INC (enrollment ID O20050613001089).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/26/1996 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| AGH1 LLC | 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. | 3/25/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANGELO ONG-VELOSO | 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. | 3/1/2012 | 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. |
| CIRCLE B ENTERPRISES HOLDING COMPANY 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. | 9/26/1996 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| FG LLC | 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. | 12/2/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| FORVIS MAZARS LLP | 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. | 8/16/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| MID STATES 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. | 11/1/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| SOVEREIGN HEALTHCARE GROUP LLC | 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. | 4/6/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| STACY LYNN SMITH | 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. | 2/2/2026 | 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. |
| TODD BEAIRD | 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. | 1/1/2022 | 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. |
| VAN DE VEN LLC | 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. | 1/1/2000 | 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. | 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. | 1/1/2000 | 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. | 1/1/2000 | 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. |
| DONALD B BEDELL | Individual | CORPORATE DIRECTOR | 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. | 9/30/1997 | 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. |
| DONALD B BEDELL | Individual | CORPORATE OFFICER | 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. | 9/30/1997 | 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. |
| TODD BEAIRD | Individual | CORPORATE OFFICER | 0 | 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. |
| AGH1 LLC | Organization | 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. | 12/2/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANGELO ONG-VELOSO | 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. | 3/1/2012 | 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. |
| DONALD B BEDELL | 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. | 9/30/1997 | 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. |
| SOVEREIGN HEALTHCARE GROUP LLC | Organization | 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. | 4/23/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| STACY LYNN SMITH | 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. | 2/2/2026 | 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. |
Changes in ownership
- 1 May 2026: KENNETH L KIDDER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KENNETH L KIDDER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: STACY LYNN SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: STACY LYNN SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 November 2025: ANGELO ONG-VELOSO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KENNETH L KIDDER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: AGH1 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: AGH1 LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ANGELO ONG-VELOSO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ANGELO ONG-VELOSO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DONALD B BEDELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: TODD BEAIRD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CIRCLE B ENTERPRISES HOLDING COMPANY INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: VAN DE VEN LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MID STATES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: FG LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KENNETH L KIDDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KENNETH L KIDDER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SOVEREIGN HEALTHCARE GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SOVEREIGN HEALTHCARE GROUP LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 July 2024: ANGELO ONG VELOSO appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
Recent changes on this record
- 1 May 2026: KENNETH L KIDDER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KENNETH L KIDDER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: STACY LYNN SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: STACY LYNN SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 November 2025: ANGELO ONG-VELOSO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KENNETH L KIDDER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: AGH1 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: AGH1 LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ANGELO ONG-VELOSO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ANGELO ONG-VELOSO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DONALD B BEDELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: TODD BEAIRD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CIRCLE B ENTERPRISES HOLDING COMPANY INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: VAN DE VEN LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MID STATES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: FG LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KENNETH L KIDDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KENNETH L KIDDER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SOVEREIGN HEALTHCARE GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SOVEREIGN HEALTHCARE GROUP LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 6 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 July 2024: ANGELO ONG VELOSO appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 7 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 16 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 24 July 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 12 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 2 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 11 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 30 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 30 June 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 23 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 20 September 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 30 June 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 3 June 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 4 June 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 10 April 2025 | 10 April 2025 | 5 | 6 |
| 2 | 1 February 2024 | 1 February 2024 | 4 | 6 |
| 3 | 28 October 2022 | 28 October 2022 | 6 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
15 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 4 September 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Yes | Deficient, Provider has date of correction | 3 October 2025 |
| 10 April 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 25 May 2025 |
| 10 April 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 25 May 2025 |
| 10 April 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 25 May 2025 |
| 10 April 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 25 May 2025 |
| 1 February 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | 13 March 2024 |
| 1 February 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 13 March 2024 |
| 1 February 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 13 March 2024 |
| 1 February 2024 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | 13 March 2024 |
| 28 October 2022 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 5 December 2022 |
| 28 October 2022 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 5 December 2022 |
| 28 October 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 | 5 December 2022 |
| 28 October 2022 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 5 December 2022 |
| 28 October 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 | 5 December 2022 |
| 28 October 2022 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | No | Deficient, Provider has date of correction | 5 December 2022 |
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 | HAVASU NURSING CENTER #2 INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1985-02-28 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Mohave |
| Telephone Number | 9284531500 |
| Chain Name | CIRCLE B ENTERPRISES |
| Chain ID | 145 |
| 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 | 118 |
| Average Number of Residents per Day | 49.4 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 May 2026: KENNETH L KIDDER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Havasu Nursing 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 Arizona 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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