Skilled nursing facility · CMS certification number 055658
TWILIGHT HAVEN
FRESNO, California
Download TWILIGHT HAVEN’s record (CSV, each figure with its worksheet, line and column)
This certification number is not in CMS’s current Care Compare Provider Information file, processed on October 1, 2026. Its Medicare enrollment, TWILIGHT HAVEN (enrollment ID O20120828000740), is not listed in the CMS enrollment file dated October 1, 2026.
TWILIGHT HAVEN: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2023, covering January 1, 2023 to May 30, 2023 (149 days, not a full year), and CMS processed it on March 4, 2025.
- Net patient revenue rose from $6.0M in fiscal year 2021 to $6.3M in fiscal year 2022.
- Its result from service to patients: −$1.2M (2020), −$1.1M (2021), −$2.0M (2022).
- Its cost reports on file run from fiscal year 1997 to fiscal year 2023.
- Since its cost report for fiscal year 2023 was filed on March 4, 2025, no other change appears in the CMS files.
TWILIGHT HAVEN: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2023 · report 1404496 | 2022 · report 1363664 | 2021 · report 1333258 | 2020 · report 1289066 | 2019 · report 1267211 | 2018 · report 1239436 | 2017 · report 1208372 | 2016 · report 1172954 | 2015 · report 1141559 | 2014 · report 1108045 | 2013 · report 1077390 | 2012 · report 1042360 | 2011 · report 1004252 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | May 30, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | 149 | — | — | — | — | — | — | — | — | — | — | — | — |
| Processed by CMS | March 4, 2025 | August 31, 2023 | September 21, 2022 | July 15, 2021 | September 11, 2020 | August 5, 2019 | August 21, 2018 | August 11, 2017 | August 17, 2016 | August 17, 2015 | August 29, 2014 | July 23, 2013 | September 14, 2012 |
| Total patient revenue | — | $6,596,761 | $5,838,959 | $6,490,397 | $5,896,323 | $6,372,330 | $6,222,829 | $6,310,785 | $6,333,704 | $5,024,478 | $6,228,257 | $3,999,246 | — |
| Contractual allowances and discounts | — | $300,501 | −$190,529 | $552,247 | $366,246 | $618,787 | $624,031 | $779,937 | $867,489 | −$663,543 | $562,518 | $657,446 | — |
| Net patient revenue | — | $6,296,260 | $6,029,488 | $5,938,150 | $5,530,077 | $5,753,543 | $5,598,798 | $5,530,848 | $5,466,215 | $5,688,021 | $5,665,739 | $3,341,800 | — |
| Total operating expenses | — | $8,270,425 | $7,166,812 | $7,125,026 | $6,153,116 | $5,694,739 | $5,707,928 | $5,999,867 | $6,173,773 | $5,897,411 | $5,806,698 | $4,930,336 | — |
| Net income from service to patients | — | −$1,974,165 | −$1,137,324 | −$1,186,876 | −$623,039 | $58,804 | −$109,130 | −$469,019 | −$707,558 | −$209,390 | −$140,959 | −$1,588,536 | — |
| Total other income | — | $47,021 | $1,117,134 | $1,239,571 | $671,319 | $63,824 | $64,894 | $93,323 | $117,513 | $105,750 | $134,144 | $1,902,813 | — |
| Net income after other income | — | −$1,927,144 | −$20,190 | $52,695 | $48,280 | $122,628 | −$44,236 | −$375,696 | −$590,045 | −$103,640 | −$6,815 | $314,277 | — |
| Net income | — | −$1,927,144 | −$20,190 | $52,695 | $48,280 | $122,628 | −$44,236 | −$375,696 | −$590,045 | −$103,640 | −$6,815 | $314,277 | — |
| Total facility beds, all components | — | 166 | 110 | 170 | 110 | 50 | 50 | 50 | 50 | 50 | 50 | 50 | — |
| Total patient days, all components | — | 26,689 | 25,209 | 49,434 | 30,035 | 48,385 | 50,092 | 16,742 | 17,508 | 17,734 | 17,742 | 17,970 | — |
| Total discharges, all components | — | 92 | 73 | 76 | 100 | 76 | 77 | 64 | 50 | 47 | 66 | 32 | — |
| Average length of stay, Medicare, in days | — | 52.48 | 40.64 | 70.21 | 33.4 | 59.65 | 58.32 | 53.55 | 77 | 60.5 | 81.23 | 124.2 | — |
| Average length of stay, Medicaid, in days | — | 261.3 | 625.67 | 363.44 | 544.52 | 403.21 | 564.5 | 729.63 | 829.06 | 754.11 | 535.19 | 1,666 | — |
| Average length of stay, all patients, in days | — | 290.1 | 345.33 | 650.45 | 300.35 | 636.64 | 650.55 | 261.59 | 350.16 | 377.32 | 268.82 | 561.56 | — |
Net income, fiscal years 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012. Checked against the form’s own arithmetic: what that check shows.
None of these figures is carried on the report for fiscal years 2023, 2011.
Form CMS-2540-96: each report covers January 1 to December 31 of its year.
| Form CMS-2540-96 | 2010 · report 409184 | 2009 · report 379625 | 2008 · report 356198 | 2007 · report 316593 | 2006 · report 290865 | 2005 · report 261712 | 2004 · report 229643 | 2003 · report 182028 | 2002 · report 195217 | 2001 · report 179584 | 2000 · report 81204 | 1999 · report 81202 | 1998 · report 81201 | 1997 · report 81200 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report status | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled | settled | settled | as submitted | settled |
| Processed by CMS | June 30, 2011 | June 30, 2010 | September 8, 2009 | June 23, 2008 | August 2, 2007 | August 23, 2006 | August 2, 2005 | June 15, 2004 | September 21, 2004 | June 3, 2004 | December 19, 2001 | May 3, 2001 | November 3, 1999 | March 11, 1999 |
| Net patient revenue | $4,685,130 | $4,748,994 | $4,909,785 | $4,751,048 | $4,721,157 | $2,837,993 | $2,683,842 | $2,486,224 | $2,532,308 | $2,332,998 | $2,120,680 | $1,849,724 | $2,013,811 | $1,764,416 |
| Total operating expenses | $4,950,256 | $4,880,264 | $4,793,707 | $4,670,745 | $4,425,286 | $4,578,666 | $4,199,423 | $4,205,633 | $4,054,501 | $3,658,634 | $3,119,224 | $2,795,027 | $3,008,549 | $2,625,254 |
| Net income from service to patients | −$265,126 | −$131,270 | $116,078 | $80,303 | $295,871 | −$1,740,673 | −$1,515,581 | −$1,719,409 | −$1,522,193 | −$1,325,636 | −$998,544 | −$945,303 | −$994,738 | −$860,838 |
| Total other income | $126,979 | $97,806 | $140,701 | $255,030 | $123,504 | $1,678,767 | $1,944,413 | $1,582,505 | $1,581,003 | $1,464,575 | $1,401,111 | $1,295,288 | $1,072,861 | $67,955 |
| Total other expenses | — | — | — | — | — | $5,219 | $17,375 | $15,596 | $16,878 | $17,404 | $278,684 | $259,362 | — | −$1,165,889 |
| Net income | −$138,147 | −$33,464 | $256,779 | $335,333 | $419,375 | −$67,125 | $411,457 | −$152,500 | $41,932 | $121,535 | $123,883 | $90,623 | $78,123 | $373,006 |
| Total facility beds, all components | 170 | 224 | 50 | 50 | 50 | 50 | 50 | 50 | 50 | 50 | 50 | 50 | 50 | 50 |
| Total patient days, all components | 37,659 | 38,502 | 40,102 | 40,092 | 17,910 | 17,777 | 17,283 | 17,939 | 17,756 | 17,873 | 18,021 | 18,143 | 17,602 | 17,504 |
| Total discharges, all components | 35 | 46 | 52 | 37 | 14 | 84 | 149 | 87 | 122 | 39 | 37 | 26 | 62 | 61 |
| Average length of stay, Medicare, in days | 395.5 | 130.13 | 190.29 | 99.85 | 21.93 | 48.06 | 35.91 | 38.93 | 45.56 | 66.7 | 56.5 | 44.86 | 48.5 | 47.5 |
| Average length of stay, Medicaid, in days | 618 | 549.32 | 431.08 | — | — | 348.36 | — | — | — | — | — | — | — | — |
| Average length of stay, all patients, in days | 1,075.97 | 837 | 771.19 | 1,083.57 | 1,279.29 | 211.63 | 115.99 | 206.2 | 145.54 | 458.28 | 487.05 | 697.81 | 283.9 | 286.95 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.
TWILIGHT HAVEN: nurse staffing hours by quarter →
Who owns TWILIGHT HAVEN, as filed with CMS
Changes in ownership
- January 1, 2025, enrollment ownership file; no longer listed: KAMALJIT KAUR (W-2 MANAGING EMPLOYEE); KAMALJIT KAUR (CORPORATE OFFICER); GARY KARLE (CORPORATE DIRECTOR); RAYMOND GOERTZEN (OPERATIONAL/MANAGERIAL CONTROL); LARRY MUZNY (CORPORATE DIRECTOR); THOMAS D MILLER (CORPORATE DIRECTOR); LORRAINE J ALVAREZ (CORPORATE DIRECTOR). Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- September 1, 2024, enrollment ownership file; no longer listed: STEVEN N MACALPINE (DIRECTOR). Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Nothing on file for TWILIGHT HAVEN: no current Care Compare listing; no owner in the Medicare enrollment ownership file.
Other nursing facilities in FRESNO
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