Skilled nursing facility · CMS certification number 056394
GOLDEN PAVILION HEALTHCARE
DALY CITY, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 239
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 11 September 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $38,920,077 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,723,678 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $37,196,399 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $37,822,364 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$625,965 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,253,850 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,627,885 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,627,885 (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 | 239 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 87,474 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,032 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,888 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 72,025 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 83,945 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 80 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 391 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 403 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 874 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 17.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439246, 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 17 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $37,698,432 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,870,240 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $35,828,192 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,306,955 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $521,237 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $703,726 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,224,963 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,224,963 (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 | 239 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 80,666 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 863 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394957, 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 21 September 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,134,128 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,742,589 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $30,876,717 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $29,251,105 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,625,612 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$76,705 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,548,907 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,548,907 (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 | 239 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 68,391 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 837 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 102.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365134, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 7 April 2021
Cost report for 1 January 2021 to 7 April 2021 — a reporting period of 96 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 27 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,407,190 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $193,527 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,213,663 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,357,276 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,143,613 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $267,929 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$875,684 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,955,391 (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 | 238 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,923 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 135.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 223.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360011, 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 28 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,239,275 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,120,426 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,118,849 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,930,689 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,811,840 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,421,600 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,390,240 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,390,902 (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 | 238 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 67,806 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 368 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 589.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 184.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343453, 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 29 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,864,118 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,011,066 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,853,052 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $29,066,238 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,213,186 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,933 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,204,253 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,205,964 (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 | 238 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 77,959 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 815 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 232.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315002, 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 19 September 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,290,845 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,395,395 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,895,450 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,794,091 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $101,359 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,929 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $119,288 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $119,288 (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 | 239 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 82,319 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 939 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 182.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243033, 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 16 October 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $34,696,964 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,923,562 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $28,773,402 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,826,672 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,946,730 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,344 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,963,074 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,956,686 (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 | 239 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 81,264 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,034 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 239.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244315, 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 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,891,214 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,927,780 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,963,434 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,946,451 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,016,983 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,563 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,036,546 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,882,893 (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 | 239 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 81,200 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 987 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 145.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1215965, 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 17 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,825,914 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,531,948 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $25,293,966 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,036,015 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $257,951 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,346 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $272,297 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $139,228 (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 | 239 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 82,928 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 949 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 273.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141651, 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 | $31,656,313 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,291,718 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,364,595 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,608,136 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,243,541 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,561 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,221,980 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,222,777 (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 | 239 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 81,887 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 731 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 46.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107826, 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, settled, processed by CMS on 29 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,016,093 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,945,179 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,070,914 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,857,972 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $212,942 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,247 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $227,189 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $226,081 (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 | 239 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 78,718 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 703 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 56.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077407, 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, as submitted, processed by CMS on 21 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,693,800 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,415,328 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,278,472 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,916,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,361,505 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,823 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,374,328 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,373,989 (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 | 239 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 82,968 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 668 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 407.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1037248, 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 5 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,738,000 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,732,339 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $25,005,661 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,433,567 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,572,094 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,593 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,586,687 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,578,686 (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 | 239 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 82,345 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 641 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 401.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1050259, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,483,011 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,387,779 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,095,232 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $157,054 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,657 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,248,629 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 80,629 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 623 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 338.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424188, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 June 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,054,005 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,744,019 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,309,986 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,023 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $95 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $2,356,914 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 81,053 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 664 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 317.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 405254, 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 19 June 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $19,378,868 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,129,649 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,249,219 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,656 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $39,244 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,217,631 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 81,932 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 465 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 734.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 346129, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 August 2007
Cost report for 1 January 2007 to 31 August 2007 — a reporting period of 242 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 4 November 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,713,150 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,998,630 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$285,480 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $399,328 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $113,848 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,273 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 447 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 207.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327953, 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 25 July 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,509,126 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,723,335 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$214,209 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $289,549 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21,181 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $54,159 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,834 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 447 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 287.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 162.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 288429, 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 26 June 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,172,850 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,452,783 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,279,933 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,283,654 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,086 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $635 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 79,510 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 432 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 587.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 184.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 255657, 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 6 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,522,694 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,077,397 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$554,703 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $536,898 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,949 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$19,754 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 73,773 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 365 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,018 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 202.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216168, 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 10 November 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,347,873 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,927,676 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$579,803 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $586,286 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,617 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $866 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 75,567 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 383 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,435.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 199294, 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 27 April 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,712,240 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,419,357 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$707,117 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $722,107 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $15,152 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$162 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 78,130 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 331 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,262.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 236.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173778, 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 27 April 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,249,866 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,768,819 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$518,953 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $570,519 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $51,559 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $7 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 77,569 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 270 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,562.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 287.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174426, 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 2 January 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,565,091 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,663,140 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,098,049 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,115,451 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $17,237 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $165 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 79,978 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 317 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 909.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 252.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82538, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 November 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,749,636 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,704,696 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$955,060 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $976,509 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,911 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,538 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 82,854 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 277 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,682.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 299.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82536, 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 | $10,408,866 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,992,290 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$583,424 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $644,986 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $60,754 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $808 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 82,189 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 533 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 378.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82534, 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 18 May 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,897,365 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,227,313 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,329,948 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $186,136 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1,143,542 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$270 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 74,631 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 481 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 378.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 155.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82532, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 July 1996 to 31 December 1996 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 29 September 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,547,358 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,791,280 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$243,922 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,600 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$205,947 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $625 (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 | 239 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,761 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 220 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 462.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82531, 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 |
|---|---|---|---|---|
| GOLDEN SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/08/2021 |
| CH GOLDEN HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 25% | since 04/08/2021 |
| CW GOLDEN HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 25% | since 04/08/2021 |
| BRAHIER, KATHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/08/2021 |
| BRUCE, MARTHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| CH GOLDEN HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/08/2021 |
| COUVE HEALTHCARE CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/13/2025 |
| EARL, STEVEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| GOLDEN PAVILION OPERATIONS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/25/2025 |
| GOLDEN SNF CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/13/2025 |
| GOLDEN SNF OPCO MANAGER LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/13/2025 |
| HERZKA, YISROEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/08/2021 |
| KOPELOWITZ, SHAUL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/08/2021 |
| PATEL, MITESHKUMAR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/08/2021 |
| PONGBANDITH, BE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/03/2025 |
| SPIELMAN, SHIMON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| VERITAS HEALTH SOLUTIONS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/13/2025 |
| WC - DALY CITY II LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/25/2025 |
| WITZCORP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/08/2021 |
| YENOWITZ, YITZCHOK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/08/2021 |
| YENOWITZ, YITZCHOK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/08/2021 |
| BRUCE, MARTHA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/31/2023 |
| EARL, STEVEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/31/2023 |
| BRAHIER, KATHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/08/2021 |
| BRUCE, MARTHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| EARL, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| GOLDEN PAVILION OPERATIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/08/2021 |
| GOLDEN SNF CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/08/2021 |
| GOLDEN SNF OPCO MANAGER LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/08/2021 |
| HERZKA, YISROEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/08/2021 |
| PATEL, MITESHKUMAR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/08/2021 |
| PONGBANDITH, BE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/03/2025 |
| SPIELMAN, SHIMON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| VERITAS HEALTH SOLUTIONS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/08/2021 |
| YENOWITZ, YITZCHOK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/08/2021 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of GOLDEN PAVILION OPERATIONS, LLC (enrollment ID O20210806001558).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| GOLDEN SNF OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/8/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CH GOLDEN HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.75 | 4/8/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CHAVA WOLOFSKY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.75 | 4/8/2021 | 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. |
| CW GOLDEN HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.75 | 4/8/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SHAUL KOPELOWITZ | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12 | 4/8/2021 | 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. |
| WITZCORP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30 | 4/8/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| YISROEL E HERZKA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.75 | 4/8/2021 | 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. |
| YITZCHOK YENOWITZ | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30 | 4/8/2021 | 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. |
| BE PONGBANDITH | 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. | 3/3/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CH GOLDEN 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. | 4/8/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| COUVE HEALTHCARE CONSULTING 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. | 5/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GOLDEN PAVILION OPERATIONS, 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. | 4/25/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GOLDEN SNF CONSULTING 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. | 5/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GOLDEN SNF OPCO MANAGER 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. | 5/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| KATHY BRAHIER | 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. | 4/8/2021 | 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. |
| MARTHA BRUCE | 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. | 8/31/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MITESHKUMAR PATEL | 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. | 4/8/2021 | 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. |
| SHAUL KOPELOWITZ | 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. | 4/8/2021 | 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. |
| SHIMON SPIELMAN | 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. | 8/31/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STEVEN EARL | 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. | 8/31/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| VERITAS HEALTH SOLUTIONS 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. | 5/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| WC - DALY CITY II 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. | 4/25/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| WITZCORP 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. | 4/8/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| YISROEL E HERZKA | 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. | 4/8/2021 | 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. |
| YITZCHOK YENOWITZ | 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. | 4/8/2021 | 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. |
| YITZCHOK YENOWITZ | Individual | CORPORATE OFFICER | 100 | 4/8/2021 | 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. |
| CMS paused 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 | INDIRECT OWNERSHIP INTEREST | 3 | 4/8/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | INDIRECT OWNERSHIP INTEREST | 3 | 4/8/2021 | 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. |
| CMS paused 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 | INDIRECT OWNERSHIP INTEREST | 2.75 | 4/8/2021 | Private equity company: Yes Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | INDIRECT OWNERSHIP INTEREST | 2.75 | 4/8/2021 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | INDIRECT OWNERSHIP INTEREST | 2.75 | 4/8/2021 | 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. |
| CMS paused 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 | INDIRECT OWNERSHIP INTEREST | 2.75 | 4/8/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARTHA BRUCE | 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. | 8/31/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STEVEN EARL | 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. | 8/31/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BE PONGBANDITH | 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. | 3/3/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| COUVE HEALTHCARE CONSULTING 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. | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| GOLDEN PAVILION OPERATIONS, 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. | 4/8/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| GOLDEN SNF CONSULTING 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. | 4/8/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| GOLDEN SNF OPCO MANAGER 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. | 4/8/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| KATHY BRAHIER | 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. | 4/8/2021 | 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. |
| MARTHA BRUCE | 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. | 8/31/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MITESHKUMAR PATEL | 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. | 4/8/2021 | 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. |
| SHIMON SPIELMAN | 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. | 8/31/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STEVEN EARL | 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. | 8/31/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| VERITAS HEALTH SOLUTIONS 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. | 4/8/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| YISROEL E HERZKA | 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. | 4/8/2021 | 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. |
| YITZCHOK YENOWITZ | 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. | 4/8/2021 | 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. |
Changes in ownership
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2026: HAROLD PERLMAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HAROLD PERLMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 October 2025: GABRIEL OKERE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SHAUL KOPELOWITZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: GOLDEN PAVILION OPERATIONS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: GOLDEN PAVILION OPERATIONS, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: WITZCORP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: YISROEL E HERZKA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: YISROEL E HERZKA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: YITZCHOK YENOWITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: YITZCHOK YENOWITZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CH GOLDEN HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KATHY BRAHIER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KATHY BRAHIER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTHA BRUCE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTHA BRUCE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTHA BRUCE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: BE PONGBANDITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: BE PONGBANDITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: STEVEN EARL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: STEVEN EARL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: STEVEN EARL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: VERITAS HEALTH SOLUTIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: VERITAS HEALTH SOLUTIONS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: WC - DALY CITY II LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SHIMON SPIELMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SHIMON SPIELMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: GOLDEN SNF OPCO MANAGER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: GOLDEN SNF OPCO MANAGER LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MITESHKUMAR PATEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MITESHKUMAR PATEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: GOLDEN SNF CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: GOLDEN SNF CONSULTING LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HAROLD PERLMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HAROLD PERLMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: COUVE HEALTHCARE CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: COUVE HEALTHCARE CONSULTING LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SHAUL KOPELOWITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SHAUL KOPELOWITZ appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 31 October 2022: LIFE GENERATIONS HEALTHCARE, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: LIFE GENERATIONS HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: FRED E SMITH no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: WELLS FARGO BANK, NATIONAL ASSOCIATION no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: TIMOTHY CASLMON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: THOMAS L OLDS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: THOMAS L OLDS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: THOMAS L OLDS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: LOIS A MASTROCOLA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: LOIS A MASTROCOLA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: LOIS A MASTROCOLA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: GOLDEN SNF OPERATIONS HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: WITZCORP LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: YISROEL E HERZKA appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: YITZCHOK YENOWITZ appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: YITZCHOK YENOWITZ appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: GABRIEL OKERE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: CHAVA WOLOFSKY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: SHAUL KOPELOWITZ appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: CW GOLDEN HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: CH GOLDEN HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2026: HAROLD PERLMAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HAROLD PERLMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 October 2025: GABRIEL OKERE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SHAUL KOPELOWITZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: GOLDEN PAVILION OPERATIONS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: GOLDEN PAVILION OPERATIONS, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: WITZCORP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: YISROEL E HERZKA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: YISROEL E HERZKA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: YITZCHOK YENOWITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: YITZCHOK YENOWITZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CH GOLDEN HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KATHY BRAHIER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KATHY BRAHIER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTHA BRUCE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTHA BRUCE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTHA BRUCE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: BE PONGBANDITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: BE PONGBANDITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: STEVEN EARL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: STEVEN EARL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: STEVEN EARL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: VERITAS HEALTH SOLUTIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: VERITAS HEALTH SOLUTIONS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: WC - DALY CITY II LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SHIMON SPIELMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SHIMON SPIELMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: GOLDEN SNF OPCO MANAGER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: GOLDEN SNF OPCO MANAGER LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MITESHKUMAR PATEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MITESHKUMAR PATEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: GOLDEN SNF CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: GOLDEN SNF CONSULTING LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HAROLD PERLMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HAROLD PERLMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: COUVE HEALTHCARE CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: COUVE HEALTHCARE CONSULTING LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SHAUL KOPELOWITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 27 May 2025 | 27 May 2025 | 6 | 9 |
| 2 | 12 April 2024 | 12 April 2024 | 19 | 20 |
| 3 | 28 June 2021 | 28 June 2021 | 40 | 8 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
65 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 9 June 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has plan of correction | 7 July 2026 |
| 4 December 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | G | Yes | Deficient, Provider has date of correction | 9 December 2025 |
| 24 June 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 8 August 2025 |
| 5 June 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. | D | Yes | Deficient, Provider has date of correction | 13 June 2025 |
| 27 May 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 30 May 2025 |
| 27 May 2025 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | 30 May 2025 |
| 27 May 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 30 May 2025 |
| 27 May 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 30 May 2025 |
| 20 March 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. | D | Yes | Deficient, Provider has date of correction | 31 March 2025 |
| 13 January 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 13 February 2025 |
| 13 January 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | Yes | Deficient, Provider has date of correction | 13 February 2025 |
| 13 January 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 13 February 2025 |
| 13 January 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | 13 February 2025 |
| 3 October 2024 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Yes | Deficient, Provider has date of correction | 30 November 2024 |
| 22 August 2024 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Yes | Deficient, Provider has date of correction | 3 September 2024 |
| 22 August 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 | 3 September 2024 |
| 22 August 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 | 3 September 2024 |
| 24 June 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 | 6 September 2024 |
| 24 June 2024 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | Yes | Deficient, Provider has date of correction | 6 September 2024 |
| 24 June 2024 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | D | Yes | Deficient, Provider has date of correction | 6 September 2024 |
| 24 June 2024 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | Yes | Deficient, Provider has date of correction | 6 September 2024 |
| 16 May 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 25 June 2024 |
| 30 April 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 | 13 June 2024 |
| 30 April 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 | 13 June 2024 |
| 12 April 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 12 May 2024 |
| 12 April 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 | No | Deficient, Provider has date of correction | 12 May 2024 |
| 12 April 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 12 May 2024 |
| 12 April 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 12 May 2024 |
| 12 April 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | 12 May 2024 |
| 12 April 2024 | 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 | 12 May 2024 |
| 12 April 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 12 May 2024 |
| 12 April 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 8 May 2024 |
| 22 January 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 1 February 2024 |
| 12 January 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 | 1 February 2024 |
| 12 January 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 | 1 February 2024 |
| 11 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 | 15 February 2024 |
| 11 January 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | 15 February 2024 |
| 11 January 2024 | 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 | Yes | Deficient, Provider has date of correction | 15 February 2024 |
| 11 January 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | 15 February 2024 |
| 19 December 2023 | 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. | E | Yes | Deficient, Provider has date of correction | 14 January 2024 |
| 19 December 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 14 January 2024 |
| 19 December 2023 | 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 | Yes | Deficient, Provider has date of correction | 14 January 2024 |
| 15 December 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 1 February 2024 |
| 6 December 2023 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | Yes | Deficient, Provider has date of correction | 1 February 2024 |
| 6 December 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 1 February 2024 |
| 6 December 2023 | 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 | 1 February 2024 |
| 15 November 2023 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Yes | Deficient, Provider has date of correction | 8 January 2024 |
| 15 November 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 8 January 2024 |
| 15 November 2023 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Yes | Deficient, Provider has date of correction | 8 January 2024 |
| 15 November 2023 | 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 | 8 January 2024 |
| 15 November 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 8 January 2024 |
| 15 November 2023 | Health | F 0940 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Yes | Deficient, Provider has date of correction | 8 January 2024 |
| 21 September 2023 | 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 | 27 November 2023 |
| 21 September 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 | Yes | Deficient, Provider has date of correction | 27 November 2023 |
| 21 September 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 27 November 2023 |
| 21 September 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 27 November 2023 |
| 28 June 2021 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 23 September 2021 |
| 28 June 2021 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | 23 September 2021 |
| 28 June 2021 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | No | Deficient, Provider has date of correction | 23 September 2021 |
| 28 June 2021 | 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 | 14 February 2022 |
| 28 June 2021 | Health | F 0836 | Administration Deficiencies | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | No | Deficient, Provider has date of correction | 23 September 2021 |
| 28 June 2021 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | No | Deficient, Provider has date of correction | 23 September 2021 |
| 28 June 2021 | 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 | No | Deficient, Provider has date of correction | 22 December 2021 |
| 28 June 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 14 February 2022 |
| 28 June 2021 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | 23 September 2021 |
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 |
|---|---|---|---|---|---|
| 9 June 2026 | Fine | $27,378 | 140970 | ||
| 4 December 2025 | Fine | $9,110 | 137175 | ||
| 20 February 2024 | Fine | $4,938 | 129996 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | GOLDEN PAVILION OPERATIONS, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1973-07-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | San Mateo |
| Telephone Number | 6509943200 |
| Chain Name | GOLDEN SNF OPERATIONS |
| Chain ID | 692 |
| 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 | 239 |
| Average Number of Residents per Day | 223.6 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 1 |
| 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 GOLDEN PAVILION HEALTHCARE: 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: A listing under INDIRECT OWNERSHIP INTEREST no longer appears in the Medicare enrollment ownership file, with no owner named. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for GOLDEN PAVILION HEALTHCARE
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 056394.