Skilled nursing facility · CMS certification number 045184
Lake Village Rehabilitation and Care Center
Lake Village, Arkansas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 82
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 August 2024 to 31 December 2024 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,937,899 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,937,899 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,663,013 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $274,886 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $397,563 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $672,449 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $672,449 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 15,606 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 640 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 7,951 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 371 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 8,962 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 12 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 722.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 331.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1432887, 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 14 June 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,678,595 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,678,595 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,559,131 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $119,464 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $373,418 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $492,882 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $492,882 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,372 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 932.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 289.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1383497, 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 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,172,626 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,172,626 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,657,675 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$485,049 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $290,291 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$194,758 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$194,758 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,261 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 569.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 184.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361467, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 30 June 2021 to 31 December 2021 — a reporting period of 184 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 4 August 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,385,872 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,385,872 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,486,206 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$100,334 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $172,805 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $72,471 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $72,471 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,488 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,290.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 237.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328823, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 January 2020 to 30 June 2020 — a reporting period of 181 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,458,051 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,458,051 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,013,076 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$555,025 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $998,563 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $443,538 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $443,538 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,829 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,208 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305158, 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 8 February 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,809,649 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,809,649 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,643,475 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$833,826 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $272,608 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$561,218 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$561,218 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,126 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 702.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310036, 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 3 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,002,368 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,002,368 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,157,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,155,599 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $182,516 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$973,083 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$973,083 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,447 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 522.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 217.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274734, 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 14 June 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,411,539 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,411,539 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,023,727 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$612,188 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,797 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$607,391 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$607,391 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,782 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1228785, 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 9 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,632,733 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,632,733 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,031,618 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$398,885 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $239,525 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$159,360 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$159,360 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,414 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 200.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189459, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 May 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,217,044 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,217,044 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,867,636 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$650,592 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $643 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$649,949 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$649,949 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,022 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 248.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157098, 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 15 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,701,132 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,701,132 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,941,129 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$239,997 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $128,899 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$111,098 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$111,098 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,742 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 267.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1149064, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,068,160 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,068,160 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,191,846 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$123,686 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,093 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$122,593 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$122,593 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,599 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 474.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 201.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074015, 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 17 November 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,829,625 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,829,625 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,922,035 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$92,410 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,868 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$65,542 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$65,542 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,089 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 879 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 276.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080294, 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 December 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,180,261 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,180,261 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,227,661 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$47,400 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $909 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$46,491 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$46,491 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,559 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 736.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 227.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1052141, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 September 2010 to 31 December 2010 — a reporting period of 121 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 21 July 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,588,164 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,736,624 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$148,460 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $440 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$148,020 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,788 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 36 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 596.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 216.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 411990, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,581,353 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,787,977 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$206,624 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,700 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $48,611 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$240,535 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,700 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 220 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 215.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363864, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 March 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,465,262 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,404,273 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $60,989 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,860 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $24,830 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $95,019 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,416 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 204 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 227.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 335514, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,061,548 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,099,859 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$38,311 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,812 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $63,560 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$66,059 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,304 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 211 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 190.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301787, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 December 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,494,396 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,134,304 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $360,092 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52,626 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $84,156 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $328,562 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,795 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 238 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 218.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 120.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 298125, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,809,593 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,727,173 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $82,420 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,165 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $78,754 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $49,831 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,729 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 243.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 263739, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 January 2004 to 30 June 2004 — a reporting period of 181 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 8 June 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,819,332 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,608,694 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$789,362 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,769 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,675 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$768,268 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,871 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 87.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 252379, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 March 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,075,581 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,550,729 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$475,148 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,094 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,065 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$437,119 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,681 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 85 | 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, all patients, in days | 302.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 210433, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,157,437 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,123,780 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $33,657 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,311 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $60,968 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,764 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 201.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194138, 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, reopened, processed by CMS on 22 September 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,155,855 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,124,821 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $31,034 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $31,970 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $63,004 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,631 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 188.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 233649, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 14 June 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,419,814 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,911,370 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$491,556 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $82,544 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$409,012 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,844 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 141 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 183.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 73599, 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, as submitted, processed by CMS on 3 August 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,577,722 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,547,320 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $30,402 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,486 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $57,888 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,316 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 307.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 4202, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 May 1998
Cost report for 1 January 1998 to 31 May 1998 — a reporting period of 150 days, not a full year, on form CMS-2540-96, settled with audit, processed by CMS on 8 November 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,024,164 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,098,600 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$74,436 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,926 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$70,510 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,749 | 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 | 37.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 174.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 2197, 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, reopened, processed by CMS on 2 May 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,928,221 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,990,409 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$62,188 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $165,332 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $103,144 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,796 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 352.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 137.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 2194, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 April 1996 to 31 December 1996 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 6 November 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,598,363 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,360,838 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $237,525 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $771 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $238,296 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,182 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 440.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 2193, 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.
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 |
|---|---|---|---|---|
| 4P2T1 OPS HOLDING LP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 08/01/2024 |
| JEJ ASSETS LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/01/2024 |
| PONTHIE INVESTMENTS LIMITED PARTNERSHIP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/01/2024 |
| PONTHIE, SHARLOT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 08/01/2024 |
| 4P2T1 ASSET HOLDING, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/06/2024 |
| 4P2T1 OPS HOLDING LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/06/2024 |
| ALEXARK1 LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/06/2024 |
| ARKGPA LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/06/2024 |
| JEJ ASSETS LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/16/2024 |
| JEJ MANAGEMENT, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/06/2024 |
| LV SNF ASSETS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/16/2024 |
| MARK KELLY THMPSON 2020 CHIKDREN'S TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/17/2024 |
| MARK THOMPSON FAMILY MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/17/2024 |
| MARK THOMPSON FAMILY MANAGEMENT LTD | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/06/2024 |
| PONTHIE MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/17/2024 |
| PONTHIE, GRACE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/14/2025 |
| PONTHIE, ROSS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/14/2025 |
| PROCARE THERAPY SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/16/2024 |
| RUSSELL, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/15/2025 |
| SOUTHERN ADMINISTRATIVE SERVICES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/15/2025 |
| TAMMY ANN THOMPSON 2021 CHILDREN'S TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/17/2024 |
| TEAMS STAFFING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/16/2024 |
| THOMPSON, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/14/2025 |
| THOMPSON, TAMMY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/06/2024 |
| WALLACE, AMANDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2024 |
| PONTHIE, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/01/2024 |
| RUSSELL, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/06/2024 |
| WALLACE, AMANDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LAKE VILLAGE OPERATIONS LLC (enrollment ID O20240904001411).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| 4P2T1 OPS HOLDING LP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JEJ ASSETS LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 8/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JOHN F PONTHIE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20 | 8/1/2024 | 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. |
| PONTHIE INVESTMENTS LIMITED PARTNERSHIP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40 | 8/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SHARLOT PONTHIE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 8/1/2024 | 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. |
| 4P2T1 ASSET HOLDING, LP | 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. | 12/6/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| 4P2T1 OPS HOLDING LP | 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. | 12/6/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ALEXARK1 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. | 12/6/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMANDA WALLACE | 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. | 8/1/2024 | 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. |
| ARKGPA 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. | 12/6/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRACE PONTHIE | 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. | 1/14/2025 | 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. |
| JEJ ASSETS LP | 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. | 12/16/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JEJ 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. | 12/6/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN R RUSSELL | 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. | 1/15/2025 | 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. |
| LV SNF ASSETS 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. | 12/16/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARK K THOMPSON | 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. | 1/14/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK KELLY THMPSON 2020 CHIKDREN'S TRUST | 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. | 12/17/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARK THOMPSON FAMILY 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. | 12/17/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARK THOMPSON FAMILY MANAGEMENT LTD | 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. | 12/6/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PONTHIE 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. | 12/17/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROCARE THERAPY SERVICES 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. | 12/16/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROSS M PONTHIE | 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. | 1/14/2025 | 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. |
| SOUTHERN ADMINISTRATIVE SERVICES, 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. | 8/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| TAMMY ANN THOMPSON 2021 CHILDREN'S TRUST | 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. | 12/17/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| TAMMY THOMPSON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/6/2024 | 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. |
| TEAMS STAFFING 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. | 12/16/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN F PONTHIE | Individual | CORPORATE OFFICER | 100 | 8/1/2024 | 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. |
| AMANDA WALLACE | 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. | 8/1/2024 | 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. |
| JOHN R RUSSELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/6/2024 | 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. |
Changes in ownership
- 1 July 2026: JEJ ASSETS LP 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: JEJ ASSETS LP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PONTHIE MANAGEMENT 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: TEAMS STAFFING 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: JEJ ASSETS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEJ ASSETS LP appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PONTHIE MANAGEMENT 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: TEAMS STAFFING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2025: AMANDA WALLACE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JOHN FLEMING 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: 4P2T1 ASSET HOLDING, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: 4P2T1 OPS HOLDING LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: 4P2T1 OPS HOLDING LP 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: GRACE PONTHIE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ARKGPA 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: ROSS M PONTHIE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PROFESSIONAL NURSING SOLUTIONS 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: JOHN R RUSSELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JOHN R RUSSELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MARK K THOMPSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: SHARLOT PONTHIE appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MARK THOMPSON FAMILY MANAGEMENT LTD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: LV SNF ASSETS 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: JOHN F PONTHIE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JOHN F PONTHIE appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MARK THOMPSON FAMILY 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: JEJ 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: ALEXARK1 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: PONTHIE INVESTMENTS LIMITED PARTNERSHIP appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MARK KELLY THMPSON 2020 CHIKDREN'S TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: TAMMY THOMPSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: AMANDA WALLACE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: AMANDA WALLACE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PROCARE THERAPY SERVICES LC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: TAMMY ANN THOMPSON 2021 CHILDREN'S TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JEJ ASSETS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JEJ ASSETS LP appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PONTHIE 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: TEAMS STAFFING LLC 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: JEJ ASSETS LP 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: JEJ ASSETS LP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PONTHIE MANAGEMENT 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: TEAMS STAFFING 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: JEJ ASSETS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEJ ASSETS LP appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PONTHIE MANAGEMENT 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: TEAMS STAFFING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 16 May 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 May 2025: AMANDA WALLACE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JOHN FLEMING 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: 4P2T1 ASSET HOLDING, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: 4P2T1 OPS HOLDING LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: 4P2T1 OPS HOLDING LP 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: GRACE PONTHIE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ARKGPA 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: ROSS M PONTHIE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PROFESSIONAL NURSING SOLUTIONS 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: JOHN R RUSSELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JOHN R RUSSELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MARK K THOMPSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: SHARLOT PONTHIE appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MARK THOMPSON FAMILY MANAGEMENT LTD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: LV SNF ASSETS 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: JOHN F PONTHIE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JOHN F PONTHIE appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MARK THOMPSON FAMILY 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: JEJ 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: ALEXARK1 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: PONTHIE INVESTMENTS LIMITED PARTNERSHIP appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MARK KELLY THMPSON 2020 CHIKDREN'S TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: TAMMY THOMPSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: AMANDA WALLACE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: AMANDA WALLACE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PROCARE THERAPY SERVICES LC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: TAMMY ANN THOMPSON 2021 CHILDREN'S TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JEJ ASSETS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JEJ ASSETS LP appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PONTHIE MANAGEMENT LLC 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 | 6 March 2026 | 6 March 2026 | 4 | 2 |
| 2 | 6 September 2024 | 6 September 2024 | 7 | 5 |
| 3 | 6 October 2023 | 6 October 2023 | 2 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
13 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 6 March 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. | G | Yes | Past Non-Compliance | 8 June 2025 |
| 6 March 2026 | Health | F 0711 | Nursing and Physician Services Deficiencies | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | No | Deficient, Provider has date of correction | 5 April 2026 |
| 6 March 2026 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | 5 April 2026 |
| 6 March 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 5 April 2026 |
| 6 September 2024 | Health | F 0569 | Resident Rights Deficiencies | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | No | Deficient, Provider has date of correction | 4 October 2024 |
| 6 September 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 4 October 2024 |
| 6 September 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 4 October 2024 |
| 6 September 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 4 October 2024 |
| 6 September 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | 4 October 2024 |
| 6 September 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 4 October 2024 |
| 6 September 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 4 October 2024 |
| 6 October 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 31 October 2023 |
| 6 October 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 31 October 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | LAKE VILLAGE OPERATIONS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Chicot |
| Telephone Number | 8702655337 |
| Chain Name | SOUTHERN ADMINISTRATIVE SERVICES |
| Chain ID | 480 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 82 |
| Average Number of Residents per Day | 56.9 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| 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 Lake Village Rehabilitation and Care Center: 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: JEJ ASSETS LP 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 Lake Village Rehabilitation and Care Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Arkansas 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.
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 045184.