Velarion Records

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Skilled nursing facility · CMS certification number 055271

LA SIERRA CARE CENTER

MERCED, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 68

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$10,526,987CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,229,887CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,297,100CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,902,175CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$394,925CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$30,627CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$425,552CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $425,552 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components24,888CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,480CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days650CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days20,668CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components22,798CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges35CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges3CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges121CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components159CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days216.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days143.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438527, 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 13 September 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$9,537,020CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,550,617CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,986,403CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,841,331CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$145,072CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$79,046CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$224,118CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $224,118 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,484CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components152CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days5,481.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days147.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394685, 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 14 August 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$8,365,323CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,690,670CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,674,653CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,238,072CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$563,419CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$38,379CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$525,040CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$525,040 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,279CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components150CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,237.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days135.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362077, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$5,598,951CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$555,383CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,043,568CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,568,873CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$525,305CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$558,131CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$32,826CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $32,826 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,147CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components58CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days12,102CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days278.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330313, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,380,123CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$680,279CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,699,844CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,621,362CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$78,482CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$354,454CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$432,936CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $432,936 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,866CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components70CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.24CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days7,090.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days269.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302364, 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 7 December 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$7,713,803CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$861,702CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,852,101CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,120,401CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$731,700CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,970CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$739,670CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $739,670 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,965CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components154CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days16,857CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days149.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1275143, 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 9 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$6,432,249CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$793,180CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,639,069CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,604,616CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$34,453CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,332CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$38,785CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $38,785 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,342CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components150CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days5,690.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days142.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240209, 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 21 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$5,799,552CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$491,567CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,307,985CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,334,531CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$26,546CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,217CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$22,329CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$22,329 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,456CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components132CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,912.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days154.97CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208998, 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 26 July 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$5,547,999CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$272,016CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,275,983CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,161,710CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$114,273CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$135CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$114,408CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $114,408 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,625CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components216CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.46CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days7,427CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days86.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170718, 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 22 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$6,122,544CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$790,745CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,331,799CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,249,108CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$82,691CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$13CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$82,678CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $82,678 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,362CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components143CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days149.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142129, 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 17 August 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$6,221,006CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$356,813CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,864,193CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,583,774CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$280,419CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$19,945CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$300,364CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $300,364 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,729CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components183CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days0.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days124.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108040, 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, as submitted, processed by CMS on 20 June 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$6,109,976CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$159,727CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,950,249CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,768,571CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$181,678CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,341CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$188,019CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $188,019 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,202CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components284CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days242.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days81.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1066405, 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 19 June 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$5,580,036CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$918CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,579,118CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,380,124CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$198,994CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$17,447CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$216,441CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $216,441 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,688CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components243CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days224.64CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days93.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1036179, 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 17 December 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$5,180,977CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$386,881CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,567,858CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,220,712CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$347,146CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$5,231CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$341,915CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $341,915 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,034CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components293CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days179.82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days75.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1022053, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 August 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$5,265,002CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,054,968CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$210,034CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,733CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $212,767 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,064CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components272CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days21.81CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days205.06CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days84.79CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414132, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,559,358CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,487,313CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$72,045CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$10,456CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $82,501 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,060CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components217CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.02CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days248.14CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days106.27CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385504, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 June 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,259,695CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,061,243CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$198,452CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,749CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $205,201 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,313CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components230CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.67CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days248.6CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days97.01CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 346460, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 January 2007

Cost report for 1 January 2007 to 31 January 2007 — a reporting period of 30 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 26 January 2010.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$315,324CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$312,687CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$2,637CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$310,551CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$25,856CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $287,332 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components3,684CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components6CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days63.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days526.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days614CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 362894, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 July 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$3,974,356CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,748,269CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$226,087CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,389CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $228,676 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,251CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components56CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days69.68CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,026.05CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days433.05CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 289620, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 August 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$3,814,043CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,390,897CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$423,146CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$14,895CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $437,241 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,170CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components76CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.35CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,437.85CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days304.87CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 261950, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 July 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,445,015CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,245,835CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$199,180CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,070CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$116,709CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $86,541 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,924CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components49CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days52.66CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days2,122.89CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days488.24CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 229222, 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, reopened, processed by CMS on 1 September 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$3,233,176CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,170,430CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$62,746CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$35,561CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $97,507 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,447CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components93CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.96CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days813.73CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days241.37CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 193403, 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 4 February 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$3,233,535CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,222,836CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$10,699CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,796CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $14,495 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,902CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components59CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days48.34CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days2,605.57CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days388.17CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 168417, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 30 December 2001

Cost report for 1 January 2001 to 30 December 2001 — a reporting period of 363 days, on form CMS-2540-96, settled, processed by CMS on 23 December 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$3,163,317CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,033,592CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$129,725CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,835CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$2,170CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $130,390 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,462CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components80CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days41.26CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days546.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days293.28CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 165936, 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, settled, processed by CMS on 26 December 2001.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$2,806,120CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,700,851CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$105,269CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,340CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1,629CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $106,980 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,826CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components56CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days83.21CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days598.85CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days425.46CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 80489, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 June 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$2,318,286CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,340,946CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$22,660CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,124CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$21,336 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,764CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components110CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.49CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days445CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days197.85CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 80487, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 April 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$2,613,413CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,644,057CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$30,644CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,380CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$30,064 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,794CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components86CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days156.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days576.84CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days253.42CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 80485, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 August 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$2,641,486CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,651,074CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$9,588CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,130CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$9,258 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,476CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components61CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days111.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days545.03CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days384.85CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 80483, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 23 June 1997.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$2,260,095CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,314,217CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$54,122CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$12,667CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1,271CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$42,726 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,735CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components30CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.18CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days21,520CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days791.17CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 80482, read from the public cost report file SNFFY1996.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
CRESCENT FACILITIES OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 02/07/2007
BERING PROPERTIES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 02/01/2007
IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 02/01/2007
JENMAX ENTERPRISES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 02/01/2007
JENNIFER NURIT SMEDRA TRUST 1997 TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 02/01/2007
JK-CSH JV LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 11/01/2006
MANHATTAN FIVE PARTNERS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 11/01/2006
THE HYMAN & BETTY INGBER FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 10/10/2013
WIN WIN ENTERPRISES, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 02/01/2007
2424 M STREET LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/15/2006
BRETSCH, GREGORYADP OF THE SNFIndividualNOT APPLICABLEsince 02/25/2019
BUTENKO, JULIEADP OF THE SNFIndividualNOT APPLICABLEsince 07/24/2023
CAMBRIDGE HEALTHCARE SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 07/15/2025
CAPELA, HEIDIADP OF THE SNFIndividualNOT APPLICABLEsince 04/03/2023
DAROUZE, MICHAELADP OF THE SNFIndividualNOT APPLICABLEsince 07/15/2025
HASSELL, LANCEADP OF THE SNFIndividualNOT APPLICABLEsince 04/25/2022
JENMAX ENTERPRISES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2007
JK-CSH JV LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2006
LUTZ, LINDAADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2012
MANOHARAN, ARUNADP OF THE SNFIndividualNOT APPLICABLEsince 08/24/2024
SALAZAR, PAULINAADP OF THE SNFIndividualNOT APPLICABLEsince 12/14/2020
SMEDRA, IRAADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2014
WIN WIN ENTERPRISES, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2007
SMEDRA, IRACORPORATE OFFICERIndividualNOT APPLICABLEsince 04/01/2014
WINTNER, JACOBCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/01/2007
BH ALLIANCEINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 11/01/2006
THE JACOB WINTNER TRUSTINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 11/01/2006
THE WINTNER LIVING TRUST DATED 7/08/1992INDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 02/01/2007
WINTNER, JACOBINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 02/01/2007
BRETSCH, GREGORYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/25/2019
DAROUZE, MICHAELMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/22/2024
BRETSCH, GREGORYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/25/2019
BUTENKO, JULIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/24/2023
CAMBRIDGE HEALTHCARE SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2014
CAPELA, HEIDIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/03/2023
DAROUZE, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/22/2024
HASSELL, LANCEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/25/2022
LUTZ, LINDAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2012
MANOHARAN, ARUNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/24/2024
SALAZAR, PAULINAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2020
SILVEIRA, SKYLEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
SMEDRA, IRAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2014
WINTNER, JACOBOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2007

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CF MERCED LA SIERRA, LLC (enrollment ID O20080131000247).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
CRESCENT FACILITIES OPERATIONS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1002/7/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
BERING PROPERTIES LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST62/1/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6.522/1/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
IRA SMEDRAIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST5.752/1/2007
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.
JENMAX ENTERPRISES LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST232/1/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
JENNIFER NURIT SMEDRA TRUST 1997 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST11.732/1/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
JK-CSH JV LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1211/1/2006
Private equity company: No
Real estate investment trust: No
Holding company: No
MANHATTAN FIVE PARTNERS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6.5211/1/2006
Private equity company: No
Real estate investment trust: No
Holding company: No
THE HYMAN & BETTY INGBER FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST610/10/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
WIN WIN ENTERPRISES, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST352/1/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
2424 M STREET LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/15/2006
Private equity company: No
Real estate investment trust: No
Holding company: No
ARUN MANOHARANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/24/2024
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.
CAMBRIDGE HEALTHCARE SERVICES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/15/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
GREGORY BRETSCHIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/25/2019
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.
HEIDI CAPELAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/3/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
IRA SMEDRAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2014
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.
JENMAX ENTERPRISES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
JK-CSH JV LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2006
Private equity company: No
Real estate investment trust: No
Holding company: No
JULIE BUTENKOIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/24/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LANCE A HASSELLIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/25/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LINDA LUTZIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2012
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL DAROUZEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/15/2025
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.
PAULINA SALAZARIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/14/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WIN WIN ENTERPRISES, LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
IRA SMEDRAIndividualCORPORATE OFFICER504/1/2014
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.
JACOB WINTNERIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2007
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.
BH ALLIANCEOrganizationINDIRECT OWNERSHIP INTEREST411/1/2006
Private equity company: No
Real estate investment trust: No
Holding company: No
JACOB WINTNERIndividualINDIRECT OWNERSHIP INTERESTCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2007
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.
THE JACOB WINTNER TRUSTOrganizationINDIRECT OWNERSHIP INTEREST211/1/2006
Private equity company: No
Real estate investment trust: No
Holding company: No
THE WINTNER LIVING TRUST DATED 7/08/1992OrganizationINDIRECT OWNERSHIP INTEREST12/1/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
GREGORY BRETSCHIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/25/2019
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.
MICHAEL DAROUZEIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/22/2024
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.
ARUN MANOHARANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/24/2024
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.
CAMBRIDGE HEALTHCARE SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
GREGORY BRETSCHIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/25/2019
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.
HEIDI CAPELAIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/3/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
IRA SMEDRAIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2014
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.
JACOB WINTNERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2007
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.
JULIE BUTENKOIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/24/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LANCE A HASSELLIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/25/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LINDA LUTZIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2012
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL DAROUZEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/22/2024
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.
PAULINA SALAZARIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SKYLER SILVEIRAIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
123 January 202623 January 2026124
223 August 202423 August 2024158
329 April 202129 April 20211111

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

Deficiencies cited

38 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
23 January 2026HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction23 February 2026
23 January 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction23 February 2026
23 January 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction23 February 2026
23 January 2026HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction23 February 2026
23 January 2026HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.ENoDeficient, Provider has date of correction23 February 2026
23 January 2026HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.ENoDeficient, Provider has date of correction23 February 2026
23 January 2026HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.ENoDeficient, Provider has date of correction23 February 2026
23 January 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction23 February 2026
23 January 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.ENoDeficient, Provider has date of correction23 February 2026
23 January 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction23 February 2026
23 January 2026HealthF 0912Environmental DeficienciesProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.ENoDeficient, Provider has date of correction23 February 2026
19 November 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDYesDeficient, Provider has date of correction11 December 2025
3 April 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction21 April 2025
23 October 2024HealthF 0800Nutrition and Dietary DeficienciesProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EYesDeficient, Provider has date of correction4 November 2024
23 August 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction23 September 2024
23 August 2024HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction23 September 2024
23 August 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction23 September 2024
23 August 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction23 September 2024
23 August 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction23 September 2024
23 August 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correction23 September 2024
23 August 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction23 September 2024
23 August 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction23 September 2024
23 August 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.ENoDeficient, Provider has date of correction23 September 2024
23 August 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.FNoDeficient, Provider has date of correction23 September 2024
23 August 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction23 September 2024
23 August 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction23 September 2024
23 August 2024HealthF 0912Environmental DeficienciesProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.FNoWaiver has been granted23 September 2024
9 October 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction26 October 2023
29 April 2021HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction11 May 2021
29 April 2021HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.ENoDeficient, Provider has date of correction29 April 2021
29 April 2021HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction20 May 2021
29 April 2021HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.ENoDeficient, Provider has date of correction10 June 2021
29 April 2021HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correction10 June 2021
29 April 2021HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction20 May 2021
29 April 2021HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction10 June 2021
29 April 2021HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyFNoDeficient, Provider has date of correction10 June 2021
29 April 2021HealthF 0912Environmental DeficienciesProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.ENoDeficient, Provider has date of correction10 June 2021
29 April 2021HealthF 0920Environmental DeficienciesProvide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.DNoDeficient, Provider has date of correction11 May 2021

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

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Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameCF MERCED LA SIERRA, LLC
Date First Approved to Provide Medicare and Medicaid Services1967-01-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishMerced
Telephone Number2097234224
Chain NameCAMBRIDGE HEALTHCARE SERVICES
Chain ID98
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds68
Average Number of Residents per Day65.8
Overall Rating3
Health Inspection Rating3
QM Rating3
Long-Stay QM Rating5
Short-Stay QM Rating1
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 July 2026: ARUN MANOHARAN 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 LA SIERRA CARE CENTER

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