Skilled nursing facility · CMS certification number 055571

BUENA PARK NURSING CENTER

BUENA PARK, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 143

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$24,277,371	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$463,088	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$24,740,459	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$24,396,996	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$343,463	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$519,507	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$862,970	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $762,970 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	52,338	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	10,073	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	3,196	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	33,766	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	47,035	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	14	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	289	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	8	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	311	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	719.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	11.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	151.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436241, 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 11 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$22,333,939	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,846,319	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$24,180,258	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$24,416,713	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$236,455	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$638,655	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$402,200	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $351,656 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	46,263	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	571	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	93.94	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	81.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394475, 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 28 June 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$25,071,040	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,626,602	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$23,444,438	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$23,625,525	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$181,087	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$455,020	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$273,933	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $104,697 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	45,316	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	699	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	96.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	64.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1387233, 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
Figure	As filed	Where it comes from
Total patient revenue	$21,965,513	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,159,713	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$20,805,800	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$19,832,631	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$973,169	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,502,471	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,475,640	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,151,556 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	43,195	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	488	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	71.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	123.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	88.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330322, 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 12 August 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$18,691,989	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,606,683	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$20,298,672	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,488,589	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,810,083	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$609,901	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,419,984	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,393,806 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	44,782	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	489	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	126.96	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	91.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329594, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 June 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$19,802,989	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$166,537	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$19,636,452	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,630,516	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,005,936	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$231,297	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,237,233	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,221,119 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	48,813	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	359	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	465.94	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	135.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1287105, 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 16 April 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$18,007,218	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$76,682	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,083,900	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,431,482	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$652,418	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$171,259	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$823,677	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $812,740 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	48,787	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	319	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	499.74	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	152.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254072, 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 28 October 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$18,527,749	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$653,448	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,874,301	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,262,135	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$612,166	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$224,499	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$836,665	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $832,121 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	48,748	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	253	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	192.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1244946, 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 17 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$18,239,944	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$129,131	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,369,075	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,600,686	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,768,389	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$217,475	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,985,864	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,985,864 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	49,061	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	350	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	329.22	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	140.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169015, 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
Figure	As filed	Where it comes from
Total patient revenue	$26,010,817	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$9,369,108	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,641,709	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,098,598	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$543,111	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$101,305	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$644,416	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $644,416 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	49,045	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	605	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	142.27	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	81.07	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142168, 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 19 August 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$25,524,013	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$10,470,356	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,053,657	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,621,247	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$567,590	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$212,140	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$355,450	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$355,450 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	48,400	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	576	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.12	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	114.51	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	84.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108219, 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
Figure	As filed	Where it comes from
Total patient revenue	$23,573,840	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$9,325,899	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,247,941	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,908,751	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$660,810	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$444,854	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$215,956	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$216,756 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	46,661	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	291	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	344.97	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	160.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1066407, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$20,912,703	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,608,646	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,304,057	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,617,123	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$313,066	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,569	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$311,497	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$311,497 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	44,688	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	357	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	68.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	195.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	125.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044715, 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
Figure	As filed	Where it comes from
Total patient revenue	$24,768,460	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$10,538,883	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,229,577	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,014,016	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,215,561	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$80,717	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,296,278	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,296,278 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	47,535	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	385	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	132.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	123.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1022063, 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 27 January 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$13,320,856	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$13,365,770	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$44,914	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$412,291	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $367,377 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	47,348	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	435	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	220.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	108.85	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424181, 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 17 June 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$12,524,319	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$12,307,708	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$216,611	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$476,888	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $693,499 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	44,182	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	531	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	160.87	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	83.21	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 405220, 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 17 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$10,858,077	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,492,985	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$634,908	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,498	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$7,261	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$636,671 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	45,021	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	478	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.92	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	219.04	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	94.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 354802, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 July 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$10,078,625	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,717,100	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$638,475	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$26,214	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$69,201	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$681,462 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,046	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	591	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	188.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	72.84	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 321866, 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 24 January 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$10,830,703	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,370,421	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$460,282	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,541	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$29,247	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $435,576 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	44,788	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	638	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	288.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	70.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 300450, 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 20 March 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$9,012,703	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,881,312	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$131,391	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$15,297	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$10,424	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $136,264 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,387	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	661	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.91	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	158.85	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	70.18	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 275521, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 May 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$7,405,354	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,731,353	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$325,999	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$86,708	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$239,291 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,860	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	594	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.4	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	327.09	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	72.15	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249914, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 July 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$6,834,555	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,842,488	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$7,933	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$46,901	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,002	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $37,966 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,655	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	613	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.09	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	219.57	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	71.22	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 229408, 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 29 June 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$6,845,059	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,023,255	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$178,196	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,437	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$169,759 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	47,029	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	572	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	284.11	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	82.22	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 185520, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 May 2004.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$7,115,955	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,464,914	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$651,041	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$26,048	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$15,869	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $661,220 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	47,257	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	671	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	17.19	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	130.14	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	70.43	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 178013, 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 12 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$6,256,022	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,918,973	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$337,049	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$79,904	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $416,953 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,771	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	680	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.83	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	184.14	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	68.78	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 121019, 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 24 September 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$6,097,872	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,567,547	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$530,325	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$19,842	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $550,167 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	45,178	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	523	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	24.96	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	209.26	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	86.38	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 73825, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 18 April 2005.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$5,910,525	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,198,777	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$288,252	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$33,032	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$255,220 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	44,909	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	560	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.02	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	165.94	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	80.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 213478, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 15 November 2004.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$5,675,725	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,674,860	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$865	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$32,792	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $33,657 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	45,970	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	381	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	120.66	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 199700, 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, reopened, processed by CMS on 18 February 2000.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$5,765,502	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,089,935	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$324,433	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$46,286	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$278,147 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	48,639	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	351	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.91	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	138.57	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 4765, read from the public cost report file SNFFY1996.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
CASTRO-GARCIA, MARIA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/06/2019
GVBP REAL ESTATE HOLDINGS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/05/2023
HANSEN	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2023
JACINTO, JOCELYN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/09/2023
MANDELBAUM, SIMCHA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2026
MOYO, MARICOR	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/09/2022
NAVARRO, FRENCITA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2022
PHAM, JULIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/16/2000
RAMA, VANN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2024
SHAMS, FARIBORZ	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2021
SKILLSERVE INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/20/2007
MANDELBAUM, JANET	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2023
CASTRO-GARCIA, MARIA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/04/2021
MANDELBAUM, JANET	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/02/2019
MANDELBAUM, BRENDA	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2025
CASTRO-GARCIA, MARIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/06/2019
JACINTO, JOCELYN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/09/2023
MANDELBAUM, JANET	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2023
MANDELBAUM, SIMCHA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2026
MOYO, MARICOR	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/09/2022
NAVARRO, FRENCITA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2022
PHAM, JULIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/16/2000
RAMA, VANN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2024
SHAMS, FARIBORZ	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of 8520 WESTERN AVENUE INC (enrollment ID O20120109000535).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
THE BENTZION MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	1/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
THE JANET MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	20	1/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	30	1/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
FARIBORZ SHAMS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2021	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.
FRENCITA NAVARRO	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GVBP REAL ESTATE HOLDINGS, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/5/2023	Private equity company: No Real estate investment trust: No Holding company: No
HANSEN	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
JOCELYN JACINTO	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/9/2023	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.
JULIE PHAM	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/16/2000	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARIA CASTRO-GARCIA	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/6/2019	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.
MARICOR MOYO	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/9/2022	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.
SIMCHA MANDELBAUM	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SKILLSERVE INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/20/2007	Private equity company: No Real estate investment trust: No Holding company: No
VANN RAMA	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JANET MANDELBAUM	Individual	CORPORATE DIRECTOR	50	1/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JANET MANDELBAUM	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/2/2019	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.
MARIA CASTRO-GARCIA	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/4/2021	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.
FARIBORZ SHAMS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2021	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.
FRENCITA NAVARRO	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JANET MANDELBAUM	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOCELYN JACINTO	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/9/2023	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.
JULIE PHAM	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/16/2000	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARIA CASTRO-GARCIA	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/6/2019	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.
MARICOR MOYO	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/9/2022	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.
SIMCHA MANDELBAUM	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VANN RAMA	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: JANET MANDELBAUM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JANET MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JANET MANDELBAUM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JULIE PHAM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JULIE PHAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JANET MANDELBAUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JANET MANDELBAUM appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JANET MANDELBAUM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JULIE PHAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JULIE PHAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 May 2026: CLINTON WILLIAMS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CLINTON WILLIAMS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CRYSTAL ROBERTS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CRYSTAL ROBERTS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: JENNY UM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: JENNY UM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: JOSE MALDONADO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: JOSE MALDONADO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: JULIE PHAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SIMCHA MANDELBAUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SIMCHA MANDELBAUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 September 2025: ROXANNE Y AYALA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BRENDA MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARIA CASTRO-GARCIA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SYMON CALIMBAHIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JEFF SCHACHTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JULIE PHAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CLINTON WILLIAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CLINTON WILLIAMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CRYSTAL ROBERTS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CRYSTAL ROBERTS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JENNY UM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JENNY UM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARICOR MOYO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARICOR MOYO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: VANN RAMA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: VANN RAMA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARIA CASTRO-GARCIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARIA CASTRO-GARCIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SKILLSERVE INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: FRENCITA NAVARRO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: FRENCITA NAVARRO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GVBP REAL ESTATE HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOCELYN JACINTO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOCELYN JACINTO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: HANSEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: FARIBORZ SHAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: FARIBORZ SHAMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOSE MALDONADO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOSE MALDONADO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JANET MANDELBAUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JULIE PHAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JULIE PHAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
17 July 2023: THE YITZCHOK MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: THE CHAIM MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: BRENDA MANDELBAUM no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: THE ADINA COHEN 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: JULIE PHAM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: BRENDA MANDELBAUM appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: MARIA CASTRO-GARCIA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: JANET MANDELBAUM appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv

Recent changes on this record

1 July 2026: JANET MANDELBAUM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JANET MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JANET MANDELBAUM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JULIE PHAM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JULIE PHAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JANET MANDELBAUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JANET MANDELBAUM appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JANET MANDELBAUM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JULIE PHAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JULIE PHAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 May 2026: CLINTON WILLIAMS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CLINTON WILLIAMS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CRYSTAL ROBERTS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CRYSTAL ROBERTS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: JENNY UM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: JENNY UM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: JOSE MALDONADO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: JOSE MALDONADO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: JULIE PHAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SIMCHA MANDELBAUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SIMCHA MANDELBAUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 September 2025: ROXANNE Y AYALA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BRENDA MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARIA CASTRO-GARCIA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SYMON CALIMBAHIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JEFF SCHACHTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JULIE PHAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CLINTON WILLIAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CLINTON WILLIAMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CRYSTAL ROBERTS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CRYSTAL ROBERTS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JENNY UM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JENNY UM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARICOR MOYO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARICOR MOYO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: VANN RAMA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: VANN RAMA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARIA CASTRO-GARCIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARIA CASTRO-GARCIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SKILLSERVE INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	18 March 2026	18 March 2026	39	11
2	21 November 2024	21 November 2024	21	6
3	28 June 2022	28 June 2022	16	4

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

Deficiencies cited

76 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
4 June 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	25 June 2026
6 May 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	19 May 2026
18 March 2026	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	E	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	E	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0694	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	D	Yes	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure 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.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure 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.	E	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0810	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0813	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	E	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0836	Administration Deficiencies	Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	10 April 2026
18 March 2026	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	10 April 2026
30 January 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	28 February 2026
30 January 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	28 February 2026
3 November 2025	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	B	Yes	Deficient, Provider has date of correction	20 November 2025
3 November 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	20 November 2025
3 November 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	20 November 2025
31 October 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	20 November 2025
30 October 2025	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	G	Yes	Deficient, Provider has date of correction	11 December 2025
21 November 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	B	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	B	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure 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.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0813	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	20 December 2024
21 November 2024	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	D	No	Deficient, Provider has date of correction	20 December 2024
1 August 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	30 August 2024
2 July 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	B	Yes	Deficient, Provider has date of correction	1 August 2024
2 July 2024	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	Yes	Deficient, Provider has date of correction	1 August 2024
30 May 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	28 June 2024
30 May 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	28 June 2024
21 December 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	Yes	Deficient, Provider has date of correction	19 January 2024
29 November 2023	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	B	Yes	Deficient, Provider has date of correction	31 December 2023
28 June 2022	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	27 July 2022
28 June 2022	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	27 July 2022
28 June 2022	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	27 July 2022
28 June 2022	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	27 July 2022
28 June 2022	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	27 July 2022
28 June 2022	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	D	No	Deficient, Provider has date of correction	27 July 2022
28 June 2022	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	27 July 2022
28 June 2022	Health	F 0761	Pharmacy Service Deficiencies	Ensure 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.	D	No	Deficient, Provider has date of correction	27 July 2022
28 June 2022	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	27 July 2022
28 June 2022	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	27 July 2022

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
30 October 2025	Fine	$8,278			137725
30 October 2025	Payment Denial		28 November 2025	13

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	8520 WESTERN AVENUE INC
Date First Approved to Provide Medicare and Medicaid Services	1977-04-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Orange
Telephone Number	7148288222
Chain Name	THE MANDELBAUM FAMILY
Chain ID	798
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	143
Average Number of Residents per Day	126.6
Overall Rating	2
Health Inspection Rating	1
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	4
Processing Date	2026-08-01

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

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On 1 July 2026: JANET MANDELBAUM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for BUENA PARK NURSING CENTER

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