Skilled nursing facility · CMS certification number 056007
Pacific Care Nursing Center
Long Beach, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 99
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,916,014 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $55,532 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,860,482 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,980,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$120,485 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $333,064 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $212,579 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $187,579 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 36,234 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,262 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 2,097 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 25,468 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 30,827 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 80 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 137 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 156 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 373 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 15.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436291, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,367,612 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,015,046 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,352,566 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,303,346 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$950,780 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $485,671 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$465,109 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$475,322 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,418 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 146 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,438.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 208.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440843, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,271,697 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $167,641 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,104,056 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,426,249 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$322,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $500,509 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $178,316 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $98,422 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,645 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 498 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 69.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394252, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,704,753 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,006,713 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,698,040 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,161,921 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $536,119 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,031,156 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,567,275 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,387,275 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,064 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 845.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367117, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 13 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,596,082 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $469,178 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,126,904 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,082,073 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,044,831 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $283,231 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,328,062 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,328,062 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,900 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 534 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 65.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342269, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 February 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,842,207 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,433,895 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,408,312 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,113,551 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $294,761 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $195,864 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $490,625 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $490,625 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,160 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 253 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 374.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310284, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,393,689 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,922,486 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,471,203 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,833,696 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$362,493 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $144,786 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$217,707 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$217,707 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,475 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 188 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 294.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253663, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 March 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,646,219 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,024,159 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,622,060 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,514,870 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $107,190 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $137,293 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $244,483 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $242,983 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,102 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 193 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 354.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221652, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,320,618 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,684,683 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,635,935 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,347,012 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$711,077 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $176,128 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$534,949 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$540,191 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,543 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 164 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 422.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 204.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169035, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,379,658 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,648,428 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,731,230 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,756,579 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$25,349 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $147,692 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $122,343 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $122,343 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,058 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 315.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 164.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141173, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,075,402 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,254,165 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,821,237 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,682,668 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $138,569 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $153,326 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $291,895 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $291,895 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,287 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 305 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 140.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107817, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 10 June 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,805,247 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,997,392 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,807,855 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,014,316 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$206,461 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $94,836 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$111,625 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$129,846 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,381 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 164 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 403.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 203.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1063527, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,251,171 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,399,821 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,851,350 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,096,994 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $754,356 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $767 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $755,123 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $755,123 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,304 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 192 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 110.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 240.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044749, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,807,868 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,774,929 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,032,939 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,150,994 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$118,055 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,459 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$116,596 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$116,596 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,021 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 163.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 204.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024308, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,303,692 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,678,927 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$375,235 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $224,648 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$150,587 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,117 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 123.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 311.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 233.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 414168, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,398,918 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,550,796 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$151,878 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $250,025 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $98,147 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,213 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 104 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 232.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385576, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 20 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,698,513 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,246,077 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $452,436 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,910 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,520 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $447,826 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,523 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 212 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 504.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 351650, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 July 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,821,830 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,567,766 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $254,064 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,656 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $270,720 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,339 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 230 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 292.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 320829, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 March 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,656,732 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,713,177 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$56,445 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $209 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $565 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$56,801 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,802 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 237 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 311.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 138.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303994, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 December 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,766,520 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,666,359 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $100,161 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,518 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $109,679 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,861 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 278 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 212.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 118.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 269758, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 April 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,539,232 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,587,665 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$48,433 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,826 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$29,607 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,750 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 321 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 165.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 95.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247108, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,665,879 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,621,725 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $44,154 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,252 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,351 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $49,055 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,140 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 230 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 206.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 193109, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 June 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,505,821 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,301,892 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $203,929 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,146 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $229,275 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,519 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 219 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 80.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 182.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 157.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 185598, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,761,472 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,005,323 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$243,851 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,241 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$208,610 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,124 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 204.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 171815, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 8 January 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,434,571 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,665,901 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$231,330 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,760 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$194,570 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,391 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 130 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 285.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 187.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81692, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 20 July 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,678,449 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,556,911 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $121,538 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,601 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $163,139 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,813 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 105.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 394.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 233.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81691, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 April 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,508,574 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,444,799 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $63,775 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,974 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $98,749 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,056 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 130 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 225.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 208.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81689, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 March 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,765,682 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,257,441 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $508,241 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,931 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $530,172 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,516 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 126 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 330.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 242.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81687, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 23 June 1997.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,848,356 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,416,509 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $431,847 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,043 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $439,890 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,080 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 212.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 181.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81686, 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 |
|---|---|---|---|---|
| BORIGSAY, JANET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/16/2024 |
| GP REAL ESTATE HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| MANDELBAUM, SIMCHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2026 |
| MARFATIA, VIKRAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2017 |
| MOMVILLE, ANN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/10/2024 |
| NAVARRO, ALEX | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/16/2021 |
| NINO, MARITZA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/09/2024 |
| OCHO, RHEA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/03/2024 |
| PANGANIBAN, PAULA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/02/2024 |
| PHAM, JULIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2000 |
| SKILLSERVE INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/20/2007 |
| TAN, JULIET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/30/2011 |
| WILLIAMS, CLINTON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/04/2010 |
| CASTRO-GARCIA, MARIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/06/2019 |
| MANDELBAUM, JANET | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/02/2019 |
| MANDELBAUM, BRENDA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/28/2026 |
| CASTRO-GARCIA, MARIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/06/2019 |
| MANDELBAUM, SIMCHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2026 |
| MARFATIA, VIKRAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2017 |
| PANGANIBAN, PAULA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/02/2024 |
| WILLIAMS, CLINTON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/04/2010 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PACIFIC CARE NURSING CENTER (enrollment ID O20120327000929).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| SIMCHA AND JANET MANDELBAUM FAMILY TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE BENTZION MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE JANET MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALEX NAVARRO | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/16/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ANN MOMVILLE | 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. | 10/10/2024 | 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. |
| CLINTON WILLIAMS | 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. | 5/4/2010 | 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. |
| GP REAL ESTATE HOLDINGS LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JANET BORIGSAY | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/16/2024 | 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. |
| JULIE PHAM | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/16/2000 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JULIET TAN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/30/2011 | 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. |
| MARITZA NINO | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/9/2024 | 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. |
| PAULA PANGANIBAN | 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. | 7/2/2024 | 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. |
| RHEA OCHO | 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. | 9/3/2024 | 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. |
| SIMCHA MANDELBAUM | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SKILLSERVE INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/20/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| VIKRAM S MARFATIA | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/1/2017 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/25/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JANET MANDELBAUM | Individual | CORPORATE OFFICER | 50 | 1/2/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARIA CASTRO-GARCIA | Individual | CORPORATE OFFICER | 50 | 11/6/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CLINTON WILLIAMS | 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. | 5/4/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARIA CASTRO-GARCIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/6/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PAULA PANGANIBAN | 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. | 7/2/2024 | 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. |
| SIMCHA MANDELBAUM | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| VIKRAM S MARFATIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: JANET MANDELBAUM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JULIE PHAM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JULIE PHAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RHEA OCHO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANET MANDELBAUM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JULIE PHAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RHEA OCHO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SIMCHA MANDELBAUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SIMCHA MANDELBAUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2026: BRENDA MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: PEGAH SAHEBIFARD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARIA CASTRO-GARCIA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MERLE C SIN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ROSALIE P SANCHEZ no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JANET MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: CLINTON WILLIAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: CLINTON WILLIAMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: VIKRAM S MARFATIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: VIKRAM S MARFATIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JANET BORIGSAY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARITZA NINO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: GP REAL ESTATE HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JULIET TAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ALEX NAVARRO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARIA CASTRO-GARCIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: SKILLSERVE INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: PAULA PANGANIBAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: PAULA PANGANIBAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ANN MOMVILLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JULIE PHAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JULIE PHAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RHEA OCHO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 August 2023: THE YITZCHOK MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: THE CHAIM MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: THE ADINA COHEN 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 17 July 2023: BRENDA MANDELBAUM no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: SIMCHA AND JANET MANDELBAUM FAMILY TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: BRENDA MANDELBAUM appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: MARIA CASTRO-GARCIA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: MARIA CASTRO-GARCIA appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: JANET MANDELBAUM appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- 1 July 2026: JANET MANDELBAUM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JULIE PHAM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JULIE PHAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RHEA OCHO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANET MANDELBAUM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JULIE PHAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RHEA OCHO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SIMCHA MANDELBAUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SIMCHA MANDELBAUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2026: BRENDA MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: PEGAH SAHEBIFARD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARIA CASTRO-GARCIA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MERLE C SIN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ROSALIE P SANCHEZ no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JANET MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: CLINTON WILLIAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: CLINTON WILLIAMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: VIKRAM S MARFATIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: VIKRAM S MARFATIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JANET BORIGSAY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARITZA NINO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: GP REAL ESTATE HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JULIET TAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ALEX NAVARRO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARIA CASTRO-GARCIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: SKILLSERVE INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: PAULA PANGANIBAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: PAULA PANGANIBAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ANN MOMVILLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JULIE PHAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JULIE PHAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RHEA OCHO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 14 October 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 9 September 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 26 October 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 1 August 2023: THE YITZCHOK MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: THE CHAIM MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: THE ADINA COHEN 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 18 July 2025 | 18 July 2025 | 22 | 8 |
| 2 | 25 July 2024 | 25 July 2024 | 28 | 1 |
| 3 | 17 December 2021 | 17 December 2021 | 18 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
68 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 11 May 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 4 June 2026 |
| 11 May 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 4 June 2026 |
| 11 May 2026 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Deficient, Provider has date of correction | 4 June 2026 |
| 4 February 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 27 February 2026 |
| 4 February 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 27 February 2026 |
| 21 August 2025 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Yes | Deficient, Provider has date of correction | 15 September 2025 |
| 18 July 2025 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 2025 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 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 | No | Deficient, Provider has date of correction | 15 August 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 | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 2025 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 2025 | 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. | E | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 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 | 15 August 2025 |
| 18 July 2025 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | 15 August 2025 |
| 18 July 2025 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | No | Deficient, Provider has date of correction | 15 August 2025 |
| 6 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 | 21 March 2025 |
| 28 February 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 13 March 2025 |
| 24 January 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has plan of correction | 14 February 2025 |
| 11 December 2024 | 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 | 31 December 2024 |
| 11 December 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 31 December 2024 |
| 3 December 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 31 December 2024 |
| 3 December 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | 31 December 2024 |
| 2 December 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | 31 December 2024 |
| 2 December 2024 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | E | Yes | Deficient, Provider has date of correction | 31 December 2024 |
| 2 December 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | 31 December 2024 |
| 30 September 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Yes | Deficient, Provider has date of correction | 25 October 2024 |
| 30 September 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 25 October 2024 |
| 30 September 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | 25 October 2024 |
| 19 September 2024 | Health | F 0626 | Resident Rights Deficiencies | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Yes | Deficient, Provider has date of correction | 21 October 2024 |
| 25 July 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | 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 | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | 21 August 2024 |
| 25 July 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 21 August 2024 |
| 26 June 2024 | 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 | 26 July 2024 |
| 26 June 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 26 July 2024 |
| 18 March 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Yes | Deficient, Provider has date of correction | 15 April 2024 |
| 26 February 2024 | Health | F 0626 | Resident Rights Deficiencies | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Yes | Deficient, Provider has date of correction | 20 March 2024 |
| 16 February 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | 18 March 2024 |
| 10 January 2024 | 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. | E | Yes | Deficient, Provider has date of correction | 9 February 2024 |
| 10 January 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 9 February 2024 |
| 11 December 2023 | Health | F 0675 | Quality of Life and Care Deficiencies | Honor each resident's preferences, choices, values and beliefs. | D | Yes | Deficient, Provider has date of correction | 10 January 2024 |
| 18 October 2023 | Health | F 0710 | Nursing and Physician Services Deficiencies | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Yes | Deficient, Provider has date of correction | 3 November 2023 |
| 9 October 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | 8 November 2023 |
| 17 December 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 14 January 2022 |
| 17 December 2021 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | G | No | Deficient, Provider has date of correction | 14 January 2022 |
| 17 December 2021 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 14 January 2022 |
| 17 December 2021 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 14 January 2022 |
| 17 December 2021 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | 14 January 2022 |
| 17 December 2021 | Health | F 0712 | Nursing and Physician Services Deficiencies | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | No | Deficient, Provider has date of correction | 14 January 2022 |
| 17 December 2021 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 14 January 2022 |
| 17 December 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 14 January 2022 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 11 May 2026 | Fine | $14,380 | 139536 | ||
| 24 January 2025 | Fine | $17,215 | 131075 | ||
| 2 December 2024 | Fine | $31,150 | 130989 | ||
| 9 October 2023 | Fine | $51,648 | 130481 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | PACIFIC CARE NURSING CENTER |
| Date First Approved to Provide Medicare and Medicaid Services | 1968-11-07 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 5625954336 |
| Chain Name | THE MANDELBAUM FAMILY |
| Chain ID | 798 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 99 |
| Average Number of Residents per Day | 86.1 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| 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 Pacific Care Nursing Center: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: JANET MANDELBAUM no longer appears as CORPORATE OFFICER 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.
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The citable document for Pacific Care Nursing Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in 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 056007.