Skilled nursing facility · CMS certification number 065129
NORTH SHORE HEALTH & REHAB FACILITY
LOVELAND, Colorado · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,232,661 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$698,600 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,931,261 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,863,025 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,931,764 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,931,764 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,931,764 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,069 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,372 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 13,712 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 29,153 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 23 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 133 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 191 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 624.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436377, 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 19 July 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,520,410 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,060,058 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,460,352 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,278,322 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$817,970 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $197,526 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$620,444 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$620,444 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,746 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 614.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389762, 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 17 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,996,723 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,068,128 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,928,595 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,107,385 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,178,790 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $972,108 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$206,682 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$206,682 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,313 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 223.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405318, 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 9 June 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,528,859 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,664,958 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,863,901 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,718,430 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,854,529 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $352,333 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,502,196 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,502,196 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,397 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 419 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 267.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1350458, 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 30 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,069,279 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,723,974 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,345,305 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,719,916 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,374,611 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,562,502 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,187,891 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,187,891 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,857 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 526 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 442.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301584, 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 13 December 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,287,065 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,604,950 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,682,115 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,964,349 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$282,234 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,104 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$273,130 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$273,130 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,534 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 637 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 552.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1306929, 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 17 November 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,435,077 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,927,469 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,507,608 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,185,105 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $322,503 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,665 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $345,168 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $345,168 (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 | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,182 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 674 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 188.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1273802, 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 30 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,633,430 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,229,633 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,403,797 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,115,093 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $288,704 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,818 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $305,522 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $305,522 (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 | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,458 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 637 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203644, 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 30 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,819,596 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,981,055 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,838,541 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,257,242 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $581,299 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,741 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $593,040 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $593,040 (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 | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,516 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 451 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 455.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203643, 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 27 November 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,728,341 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,024,593 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,703,748 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,054,409 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $649,339 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,871 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $663,210 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $663,210 (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 | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,907 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 478 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 360.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178852, 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 6 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,409,453 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,007,952 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,401,501 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,692,809 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $708,692 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,461 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $728,153 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $728,153 (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 | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,306 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 427 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 505.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1147559, 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 8 December 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,810,892 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,764,894 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,045,998 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,257,988 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $788,010 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,231 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $821,241 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $821,241 (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 | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,346 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 394 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 343.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1114118, 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, reopened, processed by CMS on 17 January 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,197,637 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,644,229 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,553,408 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,466,402 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,087,006 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $86,375 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,173,381 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,173,381 (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 | 136 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,463 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 324 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 763.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151026, 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 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,489,340 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,390,794 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,098,546 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,312,111 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $786,435 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $66,547 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $852,982 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $852,982 (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 | 136 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,598 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 259 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 608.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1014805, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 September 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,992,311 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,070,191 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $922,120 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,993 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $992,113 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,982 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 413 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 378 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 108.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417855, 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 31 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,022,149 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,257,368 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $764,781 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $91,102 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $855,883 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,382 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 382 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 393.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 118.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387153, 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 8 September 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,418,134 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,160,946 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $257,188 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $89,057 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $346,245 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,960 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 385 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 504.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 356168, 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, as submitted, processed by CMS on 24 June 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,491,274 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,288,460 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $202,814 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $82,744 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $285,558 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,530 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 420 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 307.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 110.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 316881, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 July 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,997,861 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,877,772 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $120,089 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,212 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,476 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $134,825 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,489 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 439 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 268.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 103.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 289750, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 August 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,508,655 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,433,939 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $74,716 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,135 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $109,851 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,145 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 301 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 265.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 153.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261071, 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 2 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,153,006 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,004,491 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $148,515 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,370 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $182,885 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,126 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 404 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 249.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 229476, 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 16 March 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,248,081 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,488,504 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$240,423 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $208,152 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$32,271 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,542 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 330 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 265.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 211105, 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 3 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,225,741 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,463,046 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$237,305 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $86,803 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$150,502 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,208 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 351 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 271.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 137.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 170101, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,208,931 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,722,855 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $486,076 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52,378 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $538,454 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,092 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 295 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 475.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 169.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174120, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 19 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,225,841 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,400,139 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $825,702 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $93,961 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $919,663 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,840 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 353 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 353.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 141.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 63381, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 October 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,253,158 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,793,568 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $459,590 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52,026 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $511,616 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,433 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 290 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 413.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 160.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 63379, 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, reopened, processed by CMS on 30 January 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,366,708 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,033,974 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $332,734 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,751 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $338,485 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,312 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 235 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 487.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 180.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 168187, 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 16 July 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,834,165 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,658,511 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,175,654 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,064 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $540,152 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $682,566 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,027 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 195 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 560.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 220.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 187948, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 June 1996 to 31 December 1996 — a reporting period of 213 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 8 March 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,591,853 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,524,401 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $67,452 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,485 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $69,937 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,979 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 482.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 214.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 63372, 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 |
|---|---|---|---|---|
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Ownership Data Not Available | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NORTH SHORE MANOR, INC. (enrollment ID O20100202000910).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JOHN ROBERT WILSON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 8/19/1986 | 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. |
| JAY H MOSKOWITZ | Individual | CONTRACTED MANAGING EMPLOYEE | 100 | 4/17/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN ROBERT WILSON | Individual | CORPORATE DIRECTOR | 100 | 8/19/1986 | 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. |
| BARRY KENT FANCHER | Individual | CORPORATE OFFICER | 100 | 7/1/1999 | 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. |
| JAY H MOSKOWITZ | Individual | CORPORATE OFFICER | 82 | 4/15/2018 | 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. |
| LAUREN J FASCIANO-SAGER | Individual | CORPORATE OFFICER | 0 | 11/21/2012 | 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. |
| COLUMBINE MANAGEMENT SERVICES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 12/1/1993 | Private equity company: No Real estate investment trust: No Holding company: No |
| JACQUELINE K KING | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 7/1/2023 | 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. |
| QP HEALTH CARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/17/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| BARRY KENT FANCHER | Individual | W-2 MANAGING EMPLOYEE | 100 | 7/1/1999 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN ROBERT WILSON | Individual | W-2 MANAGING EMPLOYEE | 100 | 8/19/1986 | 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. |
| LAUREN J FASCIANO-SAGER | Individual | W-2 MANAGING EMPLOYEE | 0 | 11/21/2012 | 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. |
| MARY E KORETKE | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/17/2023 | 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. |
Changes in ownership
- 1 July 2026: JACQUELINE K KING no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JACQUELINE K KING appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 November 2023: QP HEALTH CARE SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: JAY H MOSKOWITZ appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: JAY H MOSKOWITZ appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MARY E KORETKE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: JACQUELINE K KING appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
Recent changes on this record
- 1 July 2026: JACQUELINE K KING no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JACQUELINE K KING appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 17 March 2025: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 19 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 November 2023: QP HEALTH CARE SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: JAY H MOSKOWITZ appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: JAY H MOSKOWITZ appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MARY E KORETKE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: JACQUELINE K KING appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 9 June 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 13 December 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 30 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 17 November 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 30 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 30 July 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 27 November 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 17 January 2017: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 6 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 8 December 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 16 September 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 31 August 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 8 September 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 24 June 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 25 July 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 14 August 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 2 August 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 16 March 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 16 July 2004: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- 27 April 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- 3 March 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 30 January 2004: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- 19 February 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- 22 October 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 8 March 2000: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 16 May 2024 | 16 May 2024 | 7 | 1 |
| 2 | 10 March 2020 | 10 March 2020 | 6 | 23 |
| 3 | 5 March 2019 | 5 March 2019 | 6 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
19 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 22 April 2026 | 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 | 5 May 2026 |
| 16 May 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 7 June 2024 |
| 16 May 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 7 June 2024 |
| 16 May 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 8 June 2024 |
| 16 May 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | No | Deficient, Provider has date of correction | 6 June 2024 |
| 16 May 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. | E | No | Deficient, Provider has date of correction | 7 June 2024 |
| 16 May 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 7 June 2024 |
| 10 March 2020 | Health | F 0567 | Resident Rights Deficiencies | Honor the resident's right to manage his or her financial affairs. | E | No | Deficient, Provider has date of correction | 24 April 2020 |
| 10 March 2020 | Health | F 0569 | Resident Rights Deficiencies | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | No | Deficient, Provider has date of correction | 24 April 2020 |
| 10 March 2020 | 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 | No | Deficient, Provider has date of correction | 30 April 2020 |
| 10 March 2020 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | 17 April 2020 |
| 10 March 2020 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 30 April 2020 |
| 10 March 2020 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 24 April 2020 |
| 5 March 2019 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 12 April 2019 |
| 5 March 2019 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | 12 April 2019 |
| 5 March 2019 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | 5 April 2019 |
| 5 March 2019 | 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 | 17 April 2019 |
| 5 March 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 17 April 2019 |
| 5 March 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 10 April 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | Legal Business Name Not Available |
| Date First Approved to Provide Medicare and Medicaid Services | 1975-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Larimer |
| Telephone Number | 9706676111 |
| 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 | 120 |
| Average Number of Residents per Day | 104.4 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on NORTH SHORE HEALTH & REHAB FACILITY: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: JACQUELINE K KING no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for NORTH SHORE HEALTH & REHAB FACILITY
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 Colorado 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 065129.