Skilled nursing facility · CMS certification number 056215
NORTHBROOK HEALTHCARE CENTER
WILLITS, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 70
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,052,094 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $88,435 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,963,659 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,703,252 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $260,407 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $198 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $260,605 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $260,605 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 22,692 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,441 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,888 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 962 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 12,291 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 64 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 888.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433063, 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 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,613,910 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $541,949 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,071,961 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,949,176 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $122,785 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $320 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $123,105 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $123,105 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,568 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,104.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 177.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392076, 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 13 September 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,019,129 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $203,065 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,816,064 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,585,596 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $230,468 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $304 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $230,772 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $220,141 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,517 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 39 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,704.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 269.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364568, 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 21 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,086,438 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $129,007 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,957,431 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,693,442 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $263,989 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $263,991 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $263,021 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,628 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,067.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 247.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333267, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,905,664 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$442,142 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,347,806 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,859,679 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $488,127 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,104 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $489,231 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $488,829 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,031 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 798.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 242.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300560, 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 22 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,682,095 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $47,570 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,634,525 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,383,045 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $251,480 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,606 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $255,086 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $254,790 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,225 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 994.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 197.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278841, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,455,508 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $15,622 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,439,886 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,316,476 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $123,410 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,120 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $128,530 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $128,488 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,008 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,010.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 298.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240223, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 March 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,704,200 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$166,634 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,870,834 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,548,130 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $322,704 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,827 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $325,531 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $325,531 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,034 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,457.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 225.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222018, 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 28 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,462,336 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$38,170 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,500,506 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,221,268 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $279,238 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,301 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $280,539 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $280,538 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,260 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,008.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 299.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171066, 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 30 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,871,762 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $223,538 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,648,224 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,336,810 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $311,414 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $314,449 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $314,449 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,423 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,182.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 252.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139022, 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 | $4,241,173 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $198,178 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,042,995 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,779,359 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $263,636 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,737 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $265,373 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $265,373 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,812 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 858.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 208.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107822, 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 6 June 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,729,517 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $200,714 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,528,803 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,465,767 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $63,036 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,642 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $64,678 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $64,678 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,820 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 651.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 190 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1062426, 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 23 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,381,642 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $223,710 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,157,932 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,166,361 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,429 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,406 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,023 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,023 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,556 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,586.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 255.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042384, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 December 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,375,877 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$72,147 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,448,024 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,291,500 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $156,524 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,964 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $158,488 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $158,488 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,582 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 500.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 194.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1022082, 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 | $3,484,085 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,155,796 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $328,289 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,291 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $329,579 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,692 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 479.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 414183, 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 | $3,585,976 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,165,816 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $420,160 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,643 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $421,803 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,199 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 360.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 174.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385605, 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 14 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,395,967 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,191,915 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $204,052 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $817 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $204,869 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,401 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 118 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 236.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 349679, 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 15 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,144,745 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,045,705 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $99,040 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $550 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $99,590 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,416 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 424.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 194.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324030, 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, reopened, processed by CMS on 13 September 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,917,139 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,923,200 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,061 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $929 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$5,132 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,057 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 521.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 132.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 293468, 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 14 November 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,366,806 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,465,042 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$98,236 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,778 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$96,458 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,116 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 441.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266268, 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 30 November 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,522,775 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,637,976 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$115,201 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,851 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$112,351 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,660 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 250.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 120.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 237671, 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 | $2,708,138 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,604,427 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $103,711 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,487 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $108,198 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,225 | 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 | 30.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 317.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 192051, 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 21 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,471,994 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,419,035 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $52,959 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,898 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $55,857 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,037 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 229.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 110.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194980, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 16 November 2001 to 31 December 2001 — a reporting period of 45 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 February 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $351,368 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $328,244 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $23,124 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $654 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $23,778 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 2,193 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 23 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 265.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 95.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169273, read from the public cost report file SNFFY2002.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, as submitted, processed by CMS on 13 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,595,371 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,460,311 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $135,060 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,551 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $136,611 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,303 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 108.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 126092, read from the public cost report file SNFFY2000.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, as submitted, processed by CMS on 25 June 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,624,299 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,277,146 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $347,153 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,947 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $351,100 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,702 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 143.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82137, 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, settled, processed by CMS on 24 March 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,714,008 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,304,562 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $409,446 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,102 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $416,548 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,640 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 385.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82136, 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 |
|---|---|---|---|---|
| CARETRUST GP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2001 |
| CARETRUST REIT INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2001 |
| CTR PARTNERSHIP LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2001 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2001 |
| GAMBLE, SHAWNDEE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2001 |
| RAO, SEEMA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2024 |
| TWOMAGNETS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/01/2002 |
| WILLITS HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2001 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/30/2006 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| WILLITS, ADAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/09/2024 |
| PORT, BARRY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/11/2025 |
| GAMBLE, SHAWNDEE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/15/2001 |
| RAO, SEEMA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 04/01/2024 |
| GAMBLE, SHAWNDEE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/15/2001 |
| RAO, SEEMA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2024 |
| TWOMAGNETS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/01/2002 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ENSIGN WILLITS LLC (enrollment ID O20111213000921).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| FLAGSTONE HEALTHCARE NORTH LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/15/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 11/15/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| CARETRUST GP 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. | 11/15/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| CARETRUST REIT 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. | 11/15/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| CTR PARTNERSHIP LP | 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. | 11/15/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| ENSIGN SERVICES 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. | 11/15/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| SEEMA SREENIVAS RAO | 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. | 4/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHAWNDEE GAMBLE | 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. | 11/15/2001 | 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. |
| TWOMAGNETS 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. | 8/1/2002 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILLITS HEALTH 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. | 11/15/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| ADAM WILLITS | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/9/2024 | 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. |
| CHAD KEETCH | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2011 | 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. |
| SOON BURNAM | Individual | CORPORATE OFFICER | 0 | 1/30/2006 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SEEMA SREENIVAS RAO | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHAWNDEE GAMBLE | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/15/2001 | 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. |
| SEEMA SREENIVAS RAO | 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. | 4/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHAWNDEE GAMBLE | 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. | 11/15/2001 | 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. |
| TWOMAGNETS LLC | Organization | 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. | 8/1/2002 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: FLAGSTONE HEALTHCARE NORTH LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: FLAGSTONE HEALTHCARE NORTH LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 November 2025: CRAIG FITCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: BRADLEY WILLITS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SHAWNDEE GAMBLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SHAWNDEE GAMBLE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SEEMA SREENIVAS RAO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SEEMA SREENIVAS RAO appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SEEMA SREENIVAS RAO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: WILLITS HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CARETRUST REIT INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CARETRUST GP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CTR PARTNERSHIP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: TWOMAGNETS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: TWOMAGNETS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ADAM WILLITS appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Recent changes on this record
- 1 July 2026: FLAGSTONE HEALTHCARE NORTH LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: FLAGSTONE HEALTHCARE NORTH LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 November 2025: CRAIG FITCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: BRADLEY WILLITS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SHAWNDEE GAMBLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SHAWNDEE GAMBLE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SEEMA SREENIVAS RAO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SEEMA SREENIVAS RAO appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SEEMA SREENIVAS RAO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: WILLITS HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CARETRUST REIT INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CARETRUST GP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CTR PARTNERSHIP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: TWOMAGNETS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: TWOMAGNETS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ADAM WILLITS appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 14 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 13 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 21 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 20 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 22 January 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 9 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 28 March 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 28 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 30 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 13 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 6 June 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 23 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 17 December 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 1 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 13 August 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 14 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 15 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 13 September 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 14 November 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 30 November 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 21 September 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 30 January 2026 | 30 January 2026 | 8 | 8 |
| 2 | 10 April 2025 | 10 April 2025 | 3 | 7 |
| 3 | 27 March 2023 | 27 March 2023 | 14 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
25 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 30 January 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 26 February 2026 |
| 30 January 2026 | 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. | D | No | Deficient, Provider has date of correction | 26 February 2026 |
| 30 January 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | No | Deficient, Provider has date of correction | 26 February 2026 |
| 30 January 2026 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | No | Deficient, Provider has date of correction | 26 February 2026 |
| 30 January 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 26 February 2026 |
| 30 January 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 26 February 2026 |
| 30 January 2026 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | No | Deficient, Provider has date of correction | 26 February 2026 |
| 29 December 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 | Yes | Deficient, Provider has date of correction | 16 January 2026 |
| 10 April 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 | 2 May 2025 |
| 10 April 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 2 May 2025 |
| 5 March 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. | G | Yes | Deficient, Provider has date of correction | 27 March 2025 |
| 27 March 2023 | 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 | No | Deficient, Provider has date of correction | 1 May 2023 |
| 27 March 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 1 May 2023 |
| 27 March 2023 | 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 | 1 May 2023 |
| 27 March 2023 | 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. | F | No | Deficient, Provider has date of correction | 1 May 2023 |
| 27 March 2023 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | 1 May 2023 |
| 27 March 2023 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | No | Deficient, Provider has date of correction | 1 May 2023 |
| 27 March 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | No | Deficient, Provider has date of correction | 1 May 2023 |
| 27 March 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | 1 May 2023 |
| 27 March 2023 | 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 | 1 May 2023 |
| 27 March 2023 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | No | Deficient, Provider has date of correction | 1 May 2023 |
| 27 March 2023 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | E | No | Deficient, Provider has date of correction | 1 May 2023 |
| 27 March 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 1 May 2023 |
| 27 March 2023 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | No | Deficient, Provider has date of correction | 1 May 2023 |
| 27 March 2023 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | No | Deficient, Provider has date of correction | 1 May 2023 |
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 |
|---|---|---|---|---|---|
| 5 March 2025 | Fine | $9,295 | 131210 |
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 | ENSIGN WILLITS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1973-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Mendocino |
| Telephone Number | 7074595592 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| 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 | 70 |
| Average Number of Residents per Day | 38.3 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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One email a day naming what moved on NORTHBROOK HEALTHCARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.
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On 1 July 2026: FLAGSTONE HEALTHCARE NORTH LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for NORTHBROOK HEALTHCARE 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 056215.