Skilled nursing facility · CMS certification number 055662
BETHANY HOME SOCIETY SAN JOAQUIN COUNTY
RIPON, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 92
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 November 2023 to 31 October 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,754,010 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,319,870 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,434,140 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,817,874 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,383,734 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,864,602 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $480,868 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $480,868 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 151 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 55,266 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,394 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,278 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 21,695 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 39,367 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 57 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 79 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 151 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,085.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 260.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1419785, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 October 2023
Cost report for 1 November 2022 to 31 October 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 June 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,883,973 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,144,597 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,739,376 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,392,153 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,652,777 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,951,121 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $298,344 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $298,344 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,382 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 587.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 190.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1383525, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 October 2022
Cost report for 1 November 2021 to 31 October 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 June 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,128,573 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $764,625 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,363,948 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,037,524 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$673,576 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $786,320 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $112,744 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $112,744 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,514 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,044.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 478.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1355760, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 October 2021
Cost report for 1 November 2020 to 31 October 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 May 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,067,010 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $463,380 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,603,630 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,657,937 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,054,307 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,302,196 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,247,889 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,247,889 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,913 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 863.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 410.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315649, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 October 2020
Cost report for 1 November 2019 to 31 October 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 July 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,734,749 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $906,987 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,827,762 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,956,928 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,129,166 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,875,514 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,746,348 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,746,348 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 344 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 130,136 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,678.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 2,002.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1289243, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 October 2019
Cost report for 1 November 2018 to 31 October 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 October 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,387,695 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $610,912 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,776,783 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,806,683 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,029,900 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,942,145 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,912,245 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,912,245 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 574 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 134,859 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,267.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,225.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272832, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 October 2018
Cost report for 1 November 2017 to 31 October 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,240,652 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $393,738 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,846,914 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,735,428 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,888,514 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,251,709 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,363,195 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,363,195 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 129,613 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 4,814 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,472.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222802, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 October 2017
Cost report for 1 November 2016 to 31 October 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,244,854 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $187,851 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,057,003 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,282,992 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,225,989 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,990,368 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,764,379 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,764,379 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 127,567 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 878.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,614.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188237, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 October 2016
Cost report for 1 November 2015 to 31 October 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 May 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,331,546 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $401,424 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,930,122 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,804,300 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,874,178 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,254,940 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,380,762 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,380,762 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,851 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 947.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 350.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156761, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 October 2015
Cost report for 1 November 2014 to 31 October 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 May 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,033,971 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $396,865 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,637,106 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,823,019 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,185,913 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,075,507 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $889,594 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $889,594 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,186 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 103 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 790.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 293.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1124628, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 October 2014
Cost report for 1 November 2013 to 31 October 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 March 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,061,126 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $926,821 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,134,305 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,530,759 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$396,454 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $774,700 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $378,246 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $378,246 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,995 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 984.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 289.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1087592, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 October 2013
Cost report for 1 November 2012 to 31 October 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 June 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,388,105 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $987,317 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,400,788 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,414,159 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,013,371 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $757,977 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$255,394 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$255,394 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,567 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 111 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 653.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 266.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1066441, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 October 2012
Cost report for 1 November 2011 to 31 October 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,341,783 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $762,493 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,579,290 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,325,634 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$746,344 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,086,910 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $340,566 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $340,566 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,689 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 714.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 290.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029390, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 October 2011
Cost report for 1 November 2010 to 31 October 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 May 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,320,115 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,886,136 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$566,021 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,100,788 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $534,767 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,340 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 580.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 292.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428448, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 31 October 2010
Cost report for 1 November 2009 to 31 October 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 April 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,554,718 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,198,777 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$644,059 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,036,507 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $392,448 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,665 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,033.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 362.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398291, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 October 2009
Cost report for 1 November 2008 to 31 October 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 May 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,213,818 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,923,293 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$709,475 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $926,376 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $216,901 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,313 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 968.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 396.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 369516, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 October 2008
Cost report for 1 November 2007 to 31 October 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 15 May 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,655,526 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,186,091 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$530,565 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,780,353 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,249,788 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,688 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 1.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 403.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 339276, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 October 2007
Cost report for 1 November 2006 to 31 October 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 April 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,586,665 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,542,241 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $44,424 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $769,051 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $193,889 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $619,586 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,492 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicaid, in days | 505.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 338.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306910, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 October 2006
Cost report for 1 November 2005 to 31 October 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,173,614 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,058,609 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $115,005 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $526,100 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $143,816 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $497,289 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,618 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 46 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,052.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 709.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 277239, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 October 2005
Cost report for 1 November 2004 to 31 October 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,874,405 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,681,951 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $192,454 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $313,943 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $166,620 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $339,777 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,731 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 701 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 467.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 248060, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 October 2004
Cost report for 1 November 2003 to 31 October 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 April 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,548,824 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,405,841 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $142,983 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $464,596 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $92,447 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $515,132 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,321 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 380.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214035, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 October 2003
Cost report for 1 November 2002 to 31 October 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,333,359 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,386,315 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$52,956 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $254,272 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $69,189 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $132,127 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,089 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 458.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195726, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 October 2002
Cost report for 1 November 2001 to 31 October 2002 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 25 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,175,739 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,288,166 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$112,427 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $206,767 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $51,920 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $42,420 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,961 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 91 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 351.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 178017, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 October 2001
Cost report for 1 November 2000 to 31 October 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,049,310 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,106,526 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$57,216 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $372,214 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $35,739 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $279,259 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,983 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 359.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159912, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 October 2000
Cost report for 1 November 1999 to 31 October 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,740,704 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,639,069 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $101,635 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $157,839 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $28,374 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $231,100 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,705 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 110 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 288.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81214, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 October 1999
Cost report for 1 November 1998 to 31 October 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 November 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,310,366 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,377,453 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$67,087 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $180,503 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,080 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $106,336 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,600 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 422.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81212, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 October 1998
Cost report for 1 November 1997 to 31 October 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 August 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,807,536 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,836,282 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$28,746 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $222,874 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $194,128 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,685 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 555.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81210, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 October 1997
Cost report for 1 November 1996 to 31 October 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 March 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,721,810 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,707,133 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $14,677 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $94,215 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$92,108 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $201,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,532 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 39 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 680.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81208, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 October 1996
Cost report for 1 November 1995 to 31 October 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 26 March 1997.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,623,335 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,555,744 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $67,591 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $78,456 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$68,338 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $214,385 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,306 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 461.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81207, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DUTTER, DARYL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/31/2006 |
| MARCUS, STEVE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/12/2026 |
| SCHEUBLEIN, CINDY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/15/2015 |
| SHARMA, VIJAY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/31/2022 |
| ALGER, RAEANN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/25/2025 |
| FIEN, ELISABETH | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/25/2025 |
| MILLER, JEFF | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/25/2022 |
| MULDER, WILLIAM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/30/2024 |
| OSBORN, CLAIRE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/30/2024 |
| SLAGER, CAROL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/29/2019 |
| VAN ESSEN, RONALD | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/31/2023 |
| VAN GRONINGEN, JEFFREY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/31/2023 |
| VAN TILL, JOHN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/31/2023 |
| VANDER PLAATS, JUDITH | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/30/2024 |
| VEILLEUX, JEFFREY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/25/2025 |
| VERMEULEN, TOM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/31/2020 |
| DUTTER, DARYL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/31/2006 |
| MARCUS, STEVE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/14/2025 |
| SCHEUBLEIN, CINDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2015 |
| SHARMA, VIJAY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/31/2022 |
| MILLER, JEFF | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/25/2022 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BETHANY HOME SOCIETY OF SAN JOAQUIN COUNTY, INC. (enrollment ID O20090311000037).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CINDY SCHEUBLEIN | 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. | 10/15/2015 | 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. |
| DARYL R DUTTER | 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. | 10/31/2006 | 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. |
| STEVE MARCUS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/12/2026 | 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. |
| VIJAY SHARMA | 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. | 5/31/2022 | 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. |
| CAROL SLAGER | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/29/2019 | 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. |
| CLAIRE OSBORN | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/30/2024 | 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. |
| ELISABETH FIEN | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/25/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFF MILLER | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/25/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY JAMES VEILLEUX | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/25/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY ROSS VAN GRONINGEN | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/31/2023 | 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. |
| JOHN MARVIN VAN TILL | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/31/2023 | 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. |
| JUDITH GRACE VANDER PLAATS | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/30/2024 | 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. |
| RAEANN ALGER | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/25/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RONALD VAN ESSEN | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/31/2023 | 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. |
| TOM VERMEULEN | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/31/2020 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WILLIAM JOHN MULDER | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/30/2024 | 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. |
| CINDY SCHEUBLEIN | 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. | 10/1/2015 | 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. |
| DARYL R DUTTER | 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. | 10/31/2006 | 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. |
| STEVE MARCUS | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/14/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| VIJAY SHARMA | 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. | 5/31/2022 | 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. |
| JEFF MILLER | Individual | TRUSTEE 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. | 1/25/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: JEFFREY JAMES VEILLEUX no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFF MILLER no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFF MILLER no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY JAMES VEILLEUX appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFF MILLER appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFF MILLER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: PETE DUYST no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: TOM VERMEULEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: ADRIAN VANHOUTEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: DEBRA VANGRONINGEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HILARIO VIEYRA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HILARIO VIEYRA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MELVIN MULDER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CINDY SCHEUBLEIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CINDY SCHEUBLEIN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: DAVE VANELDEREN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JONI FREDRIKS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HENRY MEESTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: TOM BECK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CAROL SLAGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JEFF MILLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: ELVA WEAVER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: VIJAY SHARMA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: VIJAY SHARMA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: RONALD VAN ESSEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: TOM VERMEULEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CLAIRE OSBORN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CINDY SCHEUBLEIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CINDY SCHEUBLEIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JEFFREY ROSS VAN GRONINGEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JOHN MARVIN VAN TILL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: RAEANN ALGER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: DARYL R DUTTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: DARYL R DUTTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JUDITH GRACE VANDER PLAATS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: ELISABETH FIEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: STEVE MARCUS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: STEVE MARCUS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: WILLIAM JOHN MULDER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CAROL SLAGER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JEFFREY JAMES VEILLEUX appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JEFF MILLER appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JEFF MILLER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 September 2024: ROBERT HOEKSTRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- 1 July 2026: JEFFREY JAMES VEILLEUX no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFF MILLER no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFF MILLER no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY JAMES VEILLEUX appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFF MILLER appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFF MILLER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: PETE DUYST no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: TOM VERMEULEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: ADRIAN VANHOUTEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: DEBRA VANGRONINGEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HILARIO VIEYRA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HILARIO VIEYRA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MELVIN MULDER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CINDY SCHEUBLEIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CINDY SCHEUBLEIN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: DAVE VANELDEREN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JONI FREDRIKS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HENRY MEESTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: TOM BECK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CAROL SLAGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JEFF MILLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: ELVA WEAVER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: VIJAY SHARMA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: VIJAY SHARMA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: RONALD VAN ESSEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: TOM VERMEULEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CLAIRE OSBORN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CINDY SCHEUBLEIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CINDY SCHEUBLEIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JEFFREY ROSS VAN GRONINGEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JOHN MARVIN VAN TILL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: RAEANN ALGER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: DARYL R DUTTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: DARYL R DUTTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JUDITH GRACE VANDER PLAATS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: ELISABETH FIEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: STEVE MARCUS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: STEVE MARCUS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: WILLIAM JOHN MULDER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CAROL SLAGER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 21 March 2025 | 21 March 2025 | 9 | 5 |
| 2 | 4 November 2022 | 4 November 2022 | 8 | 9 |
| 3 | 9 May 2019 | 9 May 2019 | 12 | 8 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
29 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 15 April 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 | 8 May 2026 |
| 15 April 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | 8 May 2026 |
| 15 April 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 | Yes | Deficient, Provider has date of correction | 8 May 2026 |
| 8 September 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 8 October 2025 |
| 8 September 2025 | 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 | Yes | Deficient, Provider has date of correction | 8 October 2025 |
| 18 July 2025 | 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 | Yes | Deficient, Provider has date of correction | 10 September 2025 |
| 18 July 2025 | 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 | 10 September 2025 |
| 21 March 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 7 April 2025 |
| 21 March 2025 | 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 | 7 April 2025 |
| 21 March 2025 | 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. | E | No | Deficient, Provider has date of correction | 7 April 2025 |
| 21 March 2025 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | No | Deficient, Provider has date of correction | 7 April 2025 |
| 24 October 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 24 November 2023 |
| 12 October 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 12 November 2023 |
| 4 October 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 4 November 2023 |
| 4 October 2023 | 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 | 4 November 2023 |
| 22 September 2023 | 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 | 22 October 2023 |
| 4 November 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. | E | No | Deficient, Provider has date of correction | 3 December 2022 |
| 4 November 2022 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | 3 December 2022 |
| 4 November 2022 | 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. | E | No | Deficient, Provider has date of correction | 3 December 2022 |
| 4 November 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. | E | No | Deficient, Provider has date of correction | 3 December 2022 |
| 4 November 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 | 3 December 2022 |
| 4 November 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 3 December 2022 |
| 9 May 2019 | 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 | 5 June 2019 |
| 9 May 2019 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | 5 June 2019 |
| 9 May 2019 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 5 June 2019 |
| 9 May 2019 | 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. | E | No | Deficient, Provider has date of correction | 5 June 2019 |
| 9 May 2019 | 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. | F | No | Deficient, Provider has date of correction | 5 June 2019 |
| 9 May 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 5 June 2019 |
| 9 May 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 5 June 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | BETHANY HOME SOCIETY OF SAN JOAQUIN COUNTY, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1967-02-25 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | San Joaquin |
| Telephone Number | 2095994221 |
| 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 | 92 |
| Average Number of Residents per Day | 56.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on BETHANY HOME SOCIETY SAN JOAQUIN COUNTY: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: JEFFREY JAMES VEILLEUX no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for BETHANY HOME SOCIETY SAN JOAQUIN COUNTY
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 055662.