Skilled nursing facility · CMS certification number 056451
Cheviot Hills Post Acute
Los Angeles, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 99
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 5 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,973,696 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$554,329 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,528,025 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,321,721 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,793,696 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $338,518 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,455,178 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $523,862 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 36,234 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,263 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 2,524 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 25,293 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 32,080 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 63 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 80 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 19 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 31.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 198.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1425101, 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 11 September 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,663,421 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,580,219 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,083,202 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,780,253 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,697,051 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $454,803 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,242,248 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,319,164 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,213 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 442 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 65.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439001, 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 26 October 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,286,298 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $997,187 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,289,111 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,497,296 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,208,185 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $271,481 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$936,704 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$936,704 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,494 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 216 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,244.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367120, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,679,750 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $376,096 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,303,654 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,234,908 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$931,254 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,073,571 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $142,317 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $142,317 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,013 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 188 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 271.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332924, 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 17 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,811,218 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $452,471 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,358,747 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,172,721 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$813,974 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $794,706 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$19,268 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$19,268 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,281 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 79.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 182.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304701, 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 8 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,516,415 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $678,857 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,837,558 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,113,779 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$276,221 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $69,538 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$206,683 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$206,683 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,275 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 395 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 87.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275237, 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 6 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,923,979 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,187,275 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,736,704 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,174,934 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$438,230 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,807 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$416,423 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$416,423 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,767 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 343 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 182.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 86.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239662, 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 3 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,521,414 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $771,198 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,750,216 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,235,870 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $514,346 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $77,023 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $591,369 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $591,369 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,835 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 573 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 63.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251757, 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 6 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,213,772 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $540,931 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,672,841 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,142,436 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $530,405 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,170 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $539,575 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $539,575 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,936 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 468 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 90.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214980, 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 6 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,284,276 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,284,276 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,166,140 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $118,136 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $345,531 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $463,667 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,218,894 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,734 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 643 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 72.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 50.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179430, 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 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,211,454 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$711,385 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,922,839 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,255,466 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $667,373 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $221,739 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $889,112 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $852,276 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,938 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 482 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 98.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144088, 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 4 December 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,150,041 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$211,585 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,361,626 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,186,687 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $174,939 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $182,812 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $357,751 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $353,588 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,959 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 412 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 228.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1113910, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 November 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,813,695 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$600,496 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,414,191 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,052,636 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,361,555 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $169,685 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,531,240 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,527,448 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,694 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 389 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 127.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 86.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081116, 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 23 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,540,065 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$177,918 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,717,983 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,502,632 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $215,351 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $97,855 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $313,206 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $310,219 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,367 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 335 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042401, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 23 February 2010 to 31 December 2010 — a reporting period of 311 days, on form CMS-2540-96, settled, processed by CMS on 18 November 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,136,183 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,936,353 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $199,830 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $17,613 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $182,217 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,962 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 246 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 236.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 125.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420396, 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 27 July 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,450,756 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,382,655 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $68,101 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,452 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $119,553 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,130 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 448 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 136.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 383728, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 20 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,603,567 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,216,551 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $387,016 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $100,496 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $329 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $487,183 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,312 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 496 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 124.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 67.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 351659, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 July 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,631,788 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,293,576 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $338,212 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,840 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $364,052 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,571 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 370 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 203.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 90.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 320832, 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 18 March 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,182,499 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,881,750 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $300,749 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,252 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $333,001 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,904 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 323 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 217.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 101.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 304961, 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 January 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,946,560 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,585,468 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $361,092 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,925 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $384,017 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,993 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 361 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 190.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 91.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271190, 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 17 April 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,409,408 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,326,371 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $83,037 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,408 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $112,445 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,073 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 355 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 157.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 93.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247446, 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 24 June 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,218,116 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,991,409 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $226,707 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,895 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $253,602 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,193 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 472 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 137.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 68.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 225208, 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 18 October 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,734,069 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,597,930 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $136,139 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,135 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $179,274 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,417 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 343 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 148.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 91.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 197610, 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 7 July 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,469,973 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,310,828 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $159,145 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,508 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $196,653 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,492 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 362 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 138.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 151850, 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, as submitted, processed by CMS on 5 July 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,832,533 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,093,995 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$261,462 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $178,083 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$83,379 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,389 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 362 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 150.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74231, 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, reopened, processed by CMS on 13 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,681,520 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,602,095 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $79,425 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $75,851 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $155,276 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,699 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 402 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 118.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 83.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 129335, 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 3 October 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,897,712 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,915,887 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$18,175 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $174,359 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $156,184 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,586 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 285 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 268.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 5767, 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, reopened, processed by CMS on 2 November 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,759,862 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,819,332 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$59,470 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,022 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$56,448 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,790 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 390 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 209.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 198684, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on 9 June 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,822,890 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,825,071 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,181 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,902 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $721 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,015 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 397 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.01 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 195.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 85.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 5764, 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 |
|---|---|---|---|---|
| ANTELOPE HOLDINGS I, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 06/30/2023 |
| ROBIN, AARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | since 06/30/2023 |
| TRESS, AVROHOM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | since 06/30/2023 |
| NEWGEN ADMINISTRATIVE SERVICES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/24/2025 |
| PERSAUD, MOHANIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/06/2023 |
| PRASAD, RAJENDRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2024 |
| SHAW, PAMELA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/30/2023 |
| ROBIN, AARON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/14/2023 |
| TRESS, AVROHOM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/14/2023 |
| NEWGEN ADMINISTRATIVE SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/30/2023 |
| PERSAUD, MOHANIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/06/2023 |
| PRASAD, RAJENDRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2024 |
| SHAW, PAMELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/30/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WINDSOR CHEVIOT HILLS, LLC (enrollment ID O20100113000382).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ANTELOPE HOLDINGS I, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| 9560 PICO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| AARON H ROBIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 6/30/2023 | 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. |
| AVROHOM L TRESS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 6/30/2023 | 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. |
| PICO AR LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| MOHANIE PERSAUD | 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. | 6/6/2023 | 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. |
| NEWGEN ADMINISTRATIVE SERVICES, 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. | 6/24/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| PAMELA SHAW | 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. | 6/30/2023 | 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. |
| RAJENDRA PRASAD | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| AARON H ROBIN | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/14/2023 | 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. |
| AVROHOM L TRESS | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/14/2023 | 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. |
| MOHANIE PERSAUD | 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. | 2/6/2023 | 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. |
| NEWGEN ADMINISTRATIVE SERVICES, 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. | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| PAMELA SHAW | 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. | 6/30/2023 | 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. |
| RAJENDRA PRASAD | 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. | 2/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: 9560 PICO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: 9560 PICO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 December 2025: RAJENDRA PRASAD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: RAJENDRA PRASAD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PAMELA SHAW appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NEWGEN ADMINISTRATIVE SERVICES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NEWGEN ADMINISTRATIVE SERVICES, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MOHANIE PERSAUD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MOHANIE PERSAUD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 April 2025: PAMELA SHAW no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: PAMELA SHAW appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 February 2024: LEE C SAMSON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: LEE C SAMSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: LEE C SAMSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: DARLEEN A POE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: DONNY FELDMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: SURVIVORS TRUST UNDER THE SAMSON FAMILY TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: S&F MANAGEMENT COMPANY LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: LAWRENCE E FEIGEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: LAWRENCE E FEIGEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: LAWRENCE E FEIGEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: AARON H ROBIN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: AARON H ROBIN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: PAMELA SHAW appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: AVROHOM L TRESS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: AVROHOM L TRESS appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: ANTELOPE HOLDINGS I, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: PICO AR LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: 9560 PICO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
Recent changes on this record
- 1 July 2026: 9560 PICO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: 9560 PICO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 December 2025: RAJENDRA PRASAD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: RAJENDRA PRASAD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PAMELA SHAW appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NEWGEN ADMINISTRATIVE SERVICES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NEWGEN ADMINISTRATIVE SERVICES, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MOHANIE PERSAUD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MOHANIE PERSAUD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 11 September 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 5 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 April 2025: PAMELA SHAW no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: PAMELA SHAW appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 February 2024: LEE C SAMSON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: LEE C SAMSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: LEE C SAMSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: DARLEEN A POE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: DONNY FELDMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: SURVIVORS TRUST UNDER THE SAMSON FAMILY TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: S&F MANAGEMENT COMPANY LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: LAWRENCE E FEIGEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: LAWRENCE E FEIGEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: LAWRENCE E FEIGEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: AARON H ROBIN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: AARON H ROBIN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: PAMELA SHAW appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: AVROHOM L TRESS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: AVROHOM L TRESS appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: ANTELOPE HOLDINGS I, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: PICO AR LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: 9560 PICO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 26 October 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 20 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 17 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 8 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 3 March 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 6 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 6 December 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 6 December 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 30 September 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 20 February 2026 | 20 February 2026 | 16 | 8 |
| 2 | 12 December 2024 | 12 December 2024 | 18 | 9 |
| 3 | 17 November 2023 | 17 November 2023 | 28 | 17 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
62 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 30 April 2026 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 28 April 2026 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 28 April 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 20 February 2026 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 25 February 2026 |
| 20 February 2026 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 25 February 2026 |
| 20 February 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 25 February 2026 |
| 20 February 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | 25 February 2026 |
| 20 February 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 25 February 2026 |
| 20 February 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 25 February 2026 |
| 20 February 2026 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | E | No | Deficient, Provider has date of correction | 25 February 2026 |
| 20 February 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 25 February 2026 |
| 20 February 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 25 February 2026 |
| 20 February 2026 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | 25 February 2026 |
| 14 January 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 21 January 2026 |
| 14 January 2026 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Deficient, Provider has date of correction | 21 January 2026 |
| 18 December 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 26 December 2025 |
| 28 May 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | 30 May 2025 |
| 28 May 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 | 30 May 2025 |
| 3 April 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 | 5 April 2025 |
| 3 April 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 5 April 2025 |
| 12 December 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 18 December 2024 |
| 12 December 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | 18 December 2024 |
| 12 December 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 | 18 December 2024 |
| 12 December 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 | 18 December 2024 |
| 12 December 2024 | 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 | No | Deficient, Provider has date of correction | 18 December 2024 |
| 12 December 2024 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | No | Deficient, Provider has date of correction | 18 December 2024 |
| 12 December 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 18 December 2024 |
| 12 December 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | No | Deficient, Provider has date of correction | 18 December 2024 |
| 12 December 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | 18 December 2024 |
| 12 December 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 18 December 2024 |
| 12 December 2024 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | No | Deficient, Provider has date of correction | 18 December 2024 |
| 8 November 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 11 November 2024 |
| 8 November 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 11 November 2024 |
| 16 October 2024 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | 24 October 2024 |
| 8 April 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 | 12 April 2024 |
| 8 April 2024 | 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 | Yes | Deficient, Provider has date of correction | 12 April 2024 |
| 26 December 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Yes | Deficient, Provider has date of correction | 8 January 2024 |
| 17 November 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 2023 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 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. | E | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 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 | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 2023 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 2023 | 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 | 14 December 2023 |
| 17 November 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | 14 December 2023 |
| 17 November 2023 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | 14 December 2023 |
| 2 November 2023 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Yes | Deficient, Provider has date of correction | 1 December 2023 |
| 8 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 | 8 October 2023 |
| 8 September 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | J | Yes | Deficient, Provider has date of correction | 8 October 2023 |
| 8 September 2023 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Yes | Deficient, Provider has date of correction | 8 October 2023 |
| 8 September 2023 | 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. | F | Yes | Deficient, Provider has date of correction | 8 October 2023 |
| 8 September 2023 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Yes | Deficient, Provider has date of correction | 8 October 2023 |
| 29 August 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 29 September 2023 |
| 29 August 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | 29 September 2023 |
| 8 August 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 1 September 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 10 June 2025 | Fine | $51,613 | 131328 |
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 - Individual |
| Legal Business Name | WINDSOR CHEVIOT HILLS, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1976-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 3108368900 |
| Chain Name | WINDSOR |
| Chain ID | 566 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 99 |
| Average Number of Residents per Day | 85.9 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
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On 1 July 2026: 9560 PICO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Cheviot Hills Post Acute
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 056451.