Skilled nursing facility · CMS certification number 035118

HAVEN OF CAMP VERDE

CAMP VERDE, Arizona · Medicare and Medicaid

Certified beds, as filed in Care Compare: 58

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 19 March 2026.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$8,539,492	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,339,488	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,200,004	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,440,610	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$240,606	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$17,421	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$223,185	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$223,185 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	21,228	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,641	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	10,874	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	4,511	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	17,026	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	47	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	105	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	319	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	103.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	53.37	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448605, 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 9 April 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$8,692,417	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,438,952	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,253,465	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,311,851	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$58,386	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,035	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$50,351	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$50,351 (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%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,218	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	31.15	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	116.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	52.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1419746, 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 9 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$7,132,442	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,631,924	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,500,518	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,731,106	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$230,588	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,273	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$226,315	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$226,315 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,783	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	260	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	258.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	64.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1363965, 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.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,335,978	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,673,389	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,662,589	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,891,376	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$228,787	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$269,104	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$40,317	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $40,317 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,288	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	36.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	258.2	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	58.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331455, 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 20 February 2023.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,134,229	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$785,005	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,349,224	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,033,882	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$684,658	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$394,508	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$290,150	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$290,150 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,233	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	159	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	230.02	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	102.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342695, 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 28 July 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$6,877,972	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,490,019	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,387,953	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,748,514	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$360,561	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$976	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$359,585	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$359,585 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,107	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	336	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	185.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	53.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1290667, 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 8 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$6,908,382	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,593,994	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,314,388	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,273,280	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$41,108	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,537	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$44,645	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $44,645 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,951	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	367	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	74.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	48.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239969, 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 1 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$5,734,239	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,091,650	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,642,589	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,619,766	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$22,823	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$15,618	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$7,205	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $7,205 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,745	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	30.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	173.47	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	75.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1204062, 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 21 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$5,557,958	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,273,094	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,284,864	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,322,332	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$37,468	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,396	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$33,072	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$33,072 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,137	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	216	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	168.74	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	70.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174305, 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 17 January 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$5,414,352	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,272,913	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,141,439	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,238,081	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$96,642	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,418	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$95,224	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$95,223 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,226	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	232	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	148.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1150891, 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 21 January 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,940,293	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$898,565	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,041,728	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,211,160	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$169,432	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,149	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$161,283	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$161,283 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,876	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	243	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	180.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	77.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1117810, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 February 2013 to 31 December 2013 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$5,081,579	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,027,708	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,053,871	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,052,121	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,750	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,453	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$7,203	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $7,203 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,069	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	32.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	203.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	72.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1073125, 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 1 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$5,881,584	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,360,261	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,521,323	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,771,034	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,249,711	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,087	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,248,624	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,248,624 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	43,188	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	257	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.66	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	168.05	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044588, 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 12 November 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$5,354,688	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,600,230	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,754,458	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,339,405	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$584,947	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$77	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$584,870	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$584,870 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
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	20,122	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	273	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	233	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	73.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1019262, 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 17 August 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,264,129	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,335,923	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$71,794	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$70	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$71,724 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,547	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	208	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.58	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	269.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	89.17	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415504, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 15 February 2009 to 31 December 2009 — a reporting period of 319 days, on form CMS-2540-96, settled, processed by CMS on 27 August 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,993,699	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,126,260	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$132,561	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$132,548 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,447	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	165	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.19	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	456.62	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	111.8	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 386483, 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 23 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,269,099	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,481,341	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$212,242	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$38	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$212,204 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,386	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	102	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	605.56	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	199.86	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 352427, 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 31 July 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,322,413	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,284,300	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$38,113	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$128	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $38,241 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,066	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	175	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.94	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	359.18	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	108.95	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 322428, 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 6 June 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,266,926	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,321,895	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,054,969	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$818,582	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$236,387 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	63	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,740	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	187	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.81	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	256.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	100.21	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 311982, 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 1 May 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,167,147	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,196,921	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$29,774	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$609	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$30,383 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,108	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	154	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	432.48	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	124.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 277298, 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 4 May 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,999,326	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,902,239	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$97,087	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$62	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $97,149 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,931	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	188	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	484.04	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	100.7	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 248622, 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, as submitted, processed by CMS on 16 July 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,798,448	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,137,452	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$339,004	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$644	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$338,360 (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.

Beds, days and discharges, fiscal year 2003
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	21,182	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	120	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.59	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	419.08	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	176.52	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 186955, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 March 2002 to 31 December 2002 — a reporting period of 305 days, on form CMS-2540-96, settled, processed by CMS on 1 September 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,243,310	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,255,895	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$12,585	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,358	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$10,227 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
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	15,363	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	12.79	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	212.04	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	67.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 191559, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$1,843,703	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,566,612	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$722,909	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,435	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$721,474 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
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	14,988	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	124	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.78	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	120.87	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 141630, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 3 March 2000 to 31 December 2000 — a reporting period of 303 days, on form CMS-2540-96, settled, processed by CMS on 8 November 2001.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$1,829,039	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,541,786	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$712,747	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$738	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$712,009 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
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	16,275	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	117	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	24.18	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	139.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 3280, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 April 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$2,492,339	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,709,537	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$1,217,198	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,389	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,214,809 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
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	21,671	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	177	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	229.19	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	122.44	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 3276, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 2 February 2004.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$3,603,869	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,692,429	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$88,560	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,777	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	−$11,515	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$71,268 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
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	33,359	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	218	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	20.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	313.2	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	153.02	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 168207, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 9 September 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$1,228,579	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,337,540	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$3,108,961	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$3,108,961 (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.

Beds, days and discharges, fiscal year 1997
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	36,484	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	293	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	237.53	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	124.52	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 3272, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on 24 November 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$3,987,851	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,702,156	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$285,695	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,195	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $296,890 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
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	34,082	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	234	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	252.08	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	145.65	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 3271, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
HAVEN ARIZONA REAL ESTATE, LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 02/01/2013
HAVEN CAMP VERDE REAL ESTATE LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 02/01/2013
HAVEN REAL ESTATE PARTNERS, LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 02/01/2013
COMEAU, DEBRA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/16/2024
ESPINOSA, STEPHANIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/14/2024
FRAGOSO, LINDSAY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/10/2021
HAVEN ARIZONA REAL ESTATE, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/03/2024
HAVEN CAMP VERDE REAL ESTATE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/03/2024
HAVEN REAL ESTATE PARTNERS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/02/2024
HEALTH GROUP MANAGEMENT LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/25/2024
LONGHURST, STOCK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/15/2020
ROBERTSON, BRETT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/22/2025
SAMUELIAN, ROBERT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/22/2025
SAMUELIAN, SPENCER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/21/2025
SAMUELIAN, STEPHEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/22/2025
SANTOS, RODRIGO	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/02/2024
SEASTRAND, JASON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/01/2013
VIJ, NEERAJ	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2023
WEST, CHRISTIAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/22/2025
ROBERTSON, BRETT	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 02/01/2013
SAMUELIAN, ROBERT	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 02/01/2013
SAMUELIAN, SPENCER	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 02/01/2013
SAMUELIAN, STEPHEN	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 02/01/2013
SEASTRAND, JASON	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 02/01/2013
WEST, CHRISTIAN	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 02/01/2013
COMEAU, DEBRA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/16/2024
ESPINOSA, STEPHANIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/14/2024
FRAGOSO, LINDSAY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/10/2021
HEALTH GROUP MANAGEMENT LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/25/2024
LONGHURST, STOCK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/15/2020
SAMUELIAN, ROBERT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/22/2025
SAMUELIAN, SPENCER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/21/2025
SAMUELIAN, STEPHEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/22/2025
SANTOS, RODRIGO	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/02/2024
SEASTRAND, JASON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2013
VIJ, NEERAJ	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2023
WEST, CHRISTIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/21/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HAVEN OF CAMP VERDE LLC (enrollment ID O20130326000542).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
BRETT P ROBERTSON	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	7.61	2/1/2013	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.
CHRISTIAN R WEST	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	6.4	2/1/2013	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.
HAVEN HEALTH GROUP LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	2/1/2013	Private equity company: No Real estate investment trust: No Holding company: No
ROBERT SAMUELIAN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	20.13	2/1/2013	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.
SPENCER R SAMUELIAN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	25.21	2/1/2013	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.
STEPHEN SAMUELIAN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	36.73	2/1/2013	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.
HAVEN ARIZONA REAL ESTATE, LLC	Organization	5% OR GREATER MORTGAGE INTEREST	100	2/1/2013	Private equity company: No Real estate investment trust: No Holding company: No
HAVEN CAMP VERDE REAL ESTATE LLC	Organization	5% OR GREATER MORTGAGE INTEREST	100	2/1/2013	Private equity company: No Real estate investment trust: No Holding company: No
HAVEN REAL ESTATE PARTNERS, LLC	Organization	5% OR GREATER MORTGAGE INTEREST	100	2/1/2013	Private equity company: No Real estate investment trust: No Holding company: No
BRETT P ROBERTSON	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.	1/22/2025	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.
CHRISTIAN R WEST	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.	1/22/2025	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.
DEBRA COMEAU	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.	9/16/2024	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.
HAVEN ARIZONA REAL ESTATE, 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.	12/3/2024	Private equity company: No Real estate investment trust: No Holding company: No
HAVEN CAMP VERDE REAL ESTATE 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.	12/3/2024	Private equity company: No Real estate investment trust: No Holding company: No
HAVEN REAL ESTATE PARTNERS, 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.	12/2/2024	Private equity company: No Real estate investment trust: No Holding company: No
HEALTH GROUP MANAGEMENT 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.	11/25/2024	Private equity company: No Real estate investment trust: No Holding company: No
JASON J SEASTRAND	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.	2/1/2013	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.
LINDSAY FRAGOSO	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.	5/10/2021	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.
NEERAJ K VIJ	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.	1/1/2023	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.
ROBERT SAMUELIAN	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.	1/22/2025	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.
RODRIGO SANTOS	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.	10/2/2024	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.
SPENCER R SAMUELIAN	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.	1/21/2025	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.
STEPHANIE ESPINOSA	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.	10/14/2024	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.
STEPHEN SAMUELIAN	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.	1/22/2025	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.
STOCK LONGHURST	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.	11/15/2020	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.
BRETT P ROBERTSON	Individual	DIRECT OWNERSHIP INTEREST	7.61	2/1/2013	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.
CHRISTIAN R WEST	Individual	DIRECT OWNERSHIP INTEREST	6.4	2/1/2013	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.
JASON J SEASTRAND	Individual	DIRECT OWNERSHIP INTEREST	3.92	2/1/2013	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.
ROBERT SAMUELIAN	Individual	DIRECT OWNERSHIP INTEREST	20.13	2/1/2013	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.
SPENCER R SAMUELIAN	Individual	DIRECT OWNERSHIP INTEREST	25.21	2/1/2013	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.
STEPHEN SAMUELIAN	Individual	DIRECT OWNERSHIP INTEREST	36.73	2/1/2013	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.
CHRISTIAN R WEST	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.	1/21/2025	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.
DEBRA COMEAU	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.	9/16/2024	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.
HEALTH GROUP MANAGEMENT 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.	11/25/2024	Private equity company: No Real estate investment trust: No Holding company: No
JASON J SEASTRAND	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.	2/1/2013	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.
LINDSAY FRAGOSO	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.	5/10/2021	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.
NEERAJ K VIJ	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.	1/1/2023	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.
ROBERT SAMUELIAN	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.	1/22/2025	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.
RODRIGO SANTOS	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.	10/2/2024	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.
SPENCER R SAMUELIAN	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.	1/21/2025	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.
STEPHANIE ESPINOSA	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.	10/14/2024	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.
STEPHEN SAMUELIAN	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.	1/22/2025	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.
STOCK LONGHURST	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.	11/15/2020	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 July 2026: HAVEN REAL ESTATE PARTNERS, LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HAVEN REAL ESTATE PARTNERS, LLC no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEERAJ K VIJ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEERAJ K VIJ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HAVEN REAL ESTATE PARTNERS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HAVEN REAL ESTATE PARTNERS, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEERAJ K VIJ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEERAJ K VIJ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 May 2025: COURTNEY FISCHBECK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BRETT P ROBERTSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: LORI PADILA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HAVEN HEALTH GROUP ARIZONA LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HEALTH GROUP MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HEALTH GROUP MANAGEMENT LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STOCK LONGHURST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STOCK LONGHURST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BRETT P ROBERTSON appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BRETT P ROBERTSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: DEBRA COMEAU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: DEBRA COMEAU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: LINDSAY FRAGOSO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: LINDSAY FRAGOSO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JASON J SEASTRAND appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JASON J SEASTRAND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JASON J SEASTRAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEPHANIE ESPINOSA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEPHANIE ESPINOSA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SPENCER R SAMUELIAN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SPENCER R SAMUELIAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROBERT SAMUELIAN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROBERT SAMUELIAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEPHEN SAMUELIAN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEPHEN SAMUELIAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RODRIGO SANTOS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RODRIGO SANTOS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HAVEN ARIZONA REAL ESTATE, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HAVEN ARIZONA REAL ESTATE, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HAVEN CAMP VERDE REAL ESTATE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HAVEN CAMP VERDE REAL ESTATE LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HAVEN REAL ESTATE PARTNERS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HAVEN REAL ESTATE PARTNERS, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: NEERAJ K VIJ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: NEERAJ K VIJ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHRISTIAN R WEST appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHRISTIAN R WEST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv

Recent changes on this record

1 July 2026: HAVEN REAL ESTATE PARTNERS, LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HAVEN REAL ESTATE PARTNERS, LLC no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEERAJ K VIJ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEERAJ K VIJ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HAVEN REAL ESTATE PARTNERS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HAVEN REAL ESTATE PARTNERS, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEERAJ K VIJ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEERAJ K VIJ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN R WEST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
19 March 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 May 2025: COURTNEY FISCHBECK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BRETT P ROBERTSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: LORI PADILA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HAVEN HEALTH GROUP ARIZONA LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HEALTH GROUP MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HEALTH GROUP MANAGEMENT LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STOCK LONGHURST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STOCK LONGHURST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BRETT P ROBERTSON appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BRETT P ROBERTSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: DEBRA COMEAU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: DEBRA COMEAU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: LINDSAY FRAGOSO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: LINDSAY FRAGOSO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JASON J SEASTRAND appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JASON J SEASTRAND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JASON J SEASTRAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEPHANIE ESPINOSA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEPHANIE ESPINOSA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SPENCER R SAMUELIAN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SPENCER R SAMUELIAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROBERT SAMUELIAN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROBERT SAMUELIAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	28 May 2026	28 May 2026	7	4
2	30 January 2025	30 January 2025	10	2
3	8 December 2023	8 December 2023	3	3

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

20 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
29 June 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	1 July 2026
28 May 2026	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	20 June 2026
28 May 2026	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	20 June 2026
28 May 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	20 June 2026
28 May 2026	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	E	No	Deficient, Provider has date of correction	20 June 2026
17 February 2026	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	Yes	Deficient, Provider has date of correction	13 March 2026
11 February 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	Yes	Deficient, Provider has date of correction	13 March 2026
13 May 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	20 June 2025
13 May 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Deficient, Provider has date of correction	20 June 2025
13 May 2025	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	Yes	Deficient, Provider has date of correction	20 June 2025
13 May 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	20 June 2025
6 March 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	24 March 2025
30 January 2025	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	2 April 2025
30 January 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	2 April 2025
30 January 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	2 April 2025
30 January 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	E	No	Deficient, Provider has date of correction	2 April 2025
30 January 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	2 April 2025
8 December 2023	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	No	Deficient, Provider has date of correction	17 January 2024
8 December 2023	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	F	No	Deficient, Provider has date of correction	17 January 2024
8 December 2023	Health	F 0851	Administration Deficiencies	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	F	No	Deficient, Provider has date of correction	17 January 2024

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
11 February 2026	Fine	$11,864			138624

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	HAVEN OF CAMP VERDE LLC
Date First Approved to Provide Medicare and Medicaid Services	1985-11-13
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Yavapai
Telephone Number	9285675253
Chain Name	HAVEN HEALTH
Chain ID	249
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	58
Average Number of Residents per Day	48.0
Overall Rating	3
Health Inspection Rating	2
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	4
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 HAVEN OF CAMP VERDE: 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 1 July 2026: HAVEN REAL ESTATE PARTNERS, LLC 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 HAVEN OF CAMP VERDE

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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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 035118.