Skilled nursing facility · CMS certification number 075146

COMPLETE CARE AT MIDDLEBURY

MIDDLEBURY, Connecticut · Medicare and Medicaid

Certified beds, as filed in Care Compare: 58

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 10 October 2023 to 30 September 2024 — a reporting period of 356 days, on form CMS-2540-10, settled, processed by CMS on 8 April 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$8,179,784	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$370,188	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,809,596	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,390,049	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$419,547	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$118,764	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$538,311	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $538,311 (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%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	20,706	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,910	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	12,183	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	6,256	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	20,349	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	55	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	18	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	104	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	177	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	676.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	114.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1419847, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 9 October 2023

Cost report for 1 January 2023 to 9 October 2023 — a reporting period of 281 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 26 March 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,418,699	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,004,629	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,414,070	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,464,403	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$50,333	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,913,913	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,863,580	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,863,580 (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%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,649	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	53	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	695.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	257.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375543, 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 20 April 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$8,102,924	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,495,548	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,607,376	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,482,251	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$125,125	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,319	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$141,444	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $141,444 (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%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,396	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	52	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	951.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	334.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1346058, 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 2 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,587,976	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,977,484	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,610,492	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,817,762	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$207,270	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$194,517	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$12,753	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$12,753 (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%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,397	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	32	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	82.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,107.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	418.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328538, 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 June 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,581,161	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,340,741	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,240,420	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,630,571	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$390,151	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$540,869	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$150,718	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $150,718 (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%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,442	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	32	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	72.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	790.86	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	545.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1287882, 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 14 January 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$9,448,956	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,174,325	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,274,631	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,874,513	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$400,118	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,674	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$407,792	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $407,792 (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%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,611	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	45	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,190.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	435.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1277976, 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 23 May 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$9,293,564	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,101,701	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,191,863	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,896,393	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$295,470	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,376	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$298,846	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $298,846 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,703	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	56	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	87.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,197.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	351.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1224999, 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 5 June 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$9,235,705	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,159,868	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,075,837	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,825,086	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$250,751	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$387	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$251,138	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $251,138 (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%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,638	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	63	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.41	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,074	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	311.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1191185, 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 June 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$9,614,508	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,340,141	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,274,367	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,834,274	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$440,093	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$751	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$440,844	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $440,844 (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%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,090	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	51	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	73.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,037.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	393.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1168068, 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 21 June 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,993,583	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,124,906	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,868,677	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,473,761	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$394,916	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,005	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$395,921	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $395,921 (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%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,212	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	59	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	97.19	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,021.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	325.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1131006, 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 25 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,463,062	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,867,137	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,595,925	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,250,823	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$345,102	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,574	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$346,676	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $346,676 (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%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,082	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	56	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	92.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,218.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	340.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1103875, 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 17 November 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$7,722,761	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,162,350	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,560,411	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,122,640	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$437,771	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,048	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$440,819	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $440,818 (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%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,526	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	86	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	668.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	227.05	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1080320, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$6,783,497	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,582,534	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,200,963	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,009,941	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$191,022	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,858	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$192,880	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $192,880 (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%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,779	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	41	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	71.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,027.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	482.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1042234, 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.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$6,379,154	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,029,682	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,349,472	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,015,481	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$333,991	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,261	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$335,252	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $335,478 (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%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,320	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	88	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	583.94	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	219.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1015823, 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 19 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$5,298,358	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,039,973	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$258,385	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,120	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$673	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $269,832 (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.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,966	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	77	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	662.39	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	259.3	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 410586, 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 30 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$5,197,572	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,112,108	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$85,464	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$17,969	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $103,433 (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.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,622	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	122	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.27	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	322.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	160.84	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 384461, 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 25 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$5,288,627	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,016,559	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$272,068	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,082	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $280,150 (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.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,198	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	55	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	99	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	824.14	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	367.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 355322, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 October 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,923,934	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,720,295	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$203,639	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$17,483	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $221,122 (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.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,778	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	80	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.79	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	536.68	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	247.23	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 326403, 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 13 September 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,942,062	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,323,549	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$618,513	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$36,377	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $654,890 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,507	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	55	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	68.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,125.3	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	372.85	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 293379, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 June 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$4,692,571	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,043,331	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$649,240	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,770	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $656,010 (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.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,761	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	46	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	86.69	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	750.29	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	451.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 255707, 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 8 November 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$4,283,175	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,793,568	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$489,607	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$14,530	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$72	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $504,065 (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.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,305	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	124	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	65.63	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	388.19	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	163.75	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 236334, 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 2 March 2005.

Net income, stated at moderate confidence: $140,954 (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.

CMS report record 209348, 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 1 March 2005.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$4,107,981	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,030,054	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$77,927	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$100,288	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $178,215 (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.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,506	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	70	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	58.75	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	785.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	292.94	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 209330, 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 1 March 2005.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$3,945,135	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,716,265	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$228,870	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,708	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $237,578 (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.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,569	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	65	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	79.05	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	709.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	316.45	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 209321, 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 7 February 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$3,603,508	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,401,084	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$202,424	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,214	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $214,638 (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.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,378	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	62	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	124.64	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	532	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	328.68	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 34673, 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 18 May 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$3,278,309	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,090,686	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$187,623	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$29,438	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $217,061 (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.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,395	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	64	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	76.82	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	318.67	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 34672, read from the public cost report file SNFFY1999.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 February 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$3,048,761	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,836,226	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$212,535	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,083	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $225,618 (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.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,708	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	64	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	323.56	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75450, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 September 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$3,009,835	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,774,636	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$235,199	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$119,123	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $354,322 (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.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,819	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	50	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.94	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	416.38	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75449, 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.

The staffing record →

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
PC MIDDLEBURY OPCO LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 10/10/2023
PC MIDDLEBURY TOPCO LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 10/10/2023
PEACE CAPITAL HOLDINGS II LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 10/10/2023
SMS 2021 TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 10/10/2023
ADETOLA, ADEDAYO	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/14/2025
CISOWSKI, JENNIFER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/10/2023
DES CAPITAL LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/10/2023
HOCH, ROBERT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/10/2023
JRK INVESTMENTS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/10/2023
KLUGMAN, JACOB	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/10/2023
KNIGHTS, PETER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/10/2023
LAGANA, KRISTIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/10/2023
MIDDLEBURY PROPCO LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/10/2023
PC MIDDLEBURY PROPCO LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/10/2023
PC MIDDLEBURY TOPCO LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/10/2023
PEACE CAPITAL HOLDINGS II LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/10/2023
SMS 2021 TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/10/2023
STERNBUCH, DANIEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/10/2023
TETREAULT, MARNIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/10/2023
STEIN, SHALOM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/10/2023
DES CAPITAL LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/10/2023
JRK INVESTMENTS LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/10/2023
KLUGMAN, JACOB	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 10/10/2023
STEIN, SHALOM	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 10/10/2023
STERNBUCH, DANIEL	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 10/10/2023
LAGANA, KRISTIN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/10/2023
STEIN, SHALOM	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/10/2023
ADETOLA, ADEDAYO	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/14/2025
HOCH, ROBERT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/10/2023
KNIGHTS, PETER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/10/2023
LAGANA, KRISTIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/10/2023
TETREAULT, MARNIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/10/2023
STEIN, SHALOM	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 10/10/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of COMPLETE CARE AT MIDDLEBURY LLC (enrollment ID O20231027002634).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
PC MIDDLEBURY OPCO LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
PC MIDDLEBURY TOPCO LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	90.2	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
PEACE CAPITAL HOLDINGS II LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	90.2	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
SMS 2021 TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	85.78	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: No
ADEDAYO ADETOLA	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.	2/14/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANIEL STERNBUCH	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2023	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.
DES CAPITAL 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.	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
JACOB KLUGMAN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2023	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.
JENNIFER CISOWSKI	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2023	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.
JRK INVESTMENTS 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.	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
KRISTIN LAGANA	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2023	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.
MARNIE TETREAULT	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2023	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.
MIDDLEBURY PROPCO 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.	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
PC MIDDLEBURY PROPCO 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.	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
PC MIDDLEBURY TOPCO 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.	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
PEACE CAPITAL HOLDINGS II LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
PETER KNIGHTS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2023	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.
ROBERT J HOCH	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2023	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.
SMS 2021 TRUST	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.	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: No
DANIEL STERNBUCH	Individual	INDIRECT OWNERSHIP INTEREST	4.9	10/10/2023	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.
DES CAPITAL LLC	Organization	INDIRECT OWNERSHIP INTEREST	4.9	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
JACOB KLUGMAN	Individual	INDIRECT OWNERSHIP INTEREST	4.9	10/10/2023	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.
JRK INVESTMENTS LLC	Organization	INDIRECT OWNERSHIP INTEREST	4.9	10/10/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
SHALOM STEIN	Individual	INDIRECT OWNERSHIP INTEREST	4.9	10/10/2023	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.
KRISTIN LAGANA	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2023	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.
SHALOM STEIN	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2023	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.
SHALOM STEIN	Individual	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.	10/10/2023	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.
ADEDAYO ADETOLA	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.	2/14/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KRISTIN LAGANA	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.	10/10/2023	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.
MARNIE TETREAULT	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.	10/10/2023	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.
PETER KNIGHTS	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.	10/10/2023	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.
ROBERT J HOCH	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.	10/10/2023	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.
SHALOM STEIN	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2023	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: JENNIFER CISOWSKI no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER CISOWSKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 March 2026: SHALOM STEIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: ROBERT J HOCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SHALOM STEIN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SHALOM STEIN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SHALOM STEIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PEACE CAPITAL HOLDINGS II LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JRK INVESTMENTS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JRK INVESTMENTS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DES CAPITAL LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DES CAPITAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PC MIDDLEBURY TOPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: ROBERT J HOCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: ROBERT J HOCH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PC MIDDLEBURY PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: KRISTIN LAGANA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: KRISTIN LAGANA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: KRISTIN LAGANA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SMS 2021 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MIDDLEBURY PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JACOB KLUGMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JACOB KLUGMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PETER KNIGHTS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PETER KNIGHTS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MARNIE TETREAULT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MARNIE TETREAULT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DANIEL STERNBUCH appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DANIEL STERNBUCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: ADEDAYO ADETOLA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: ADEDAYO ADETOLA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JENNIFER CISOWSKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
5 January 2024: BRYNA POTSDAM no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CAROL HORAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CYNTHIA FASSETT RESHA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CYNTHIA FASSETT RESHA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CYNTHIA FASSETT RESHA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: LINDA KAPLIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: RHIENNA DOHERTY MURRAY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: GRACE NARDIELLO no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: ELAINE DABBO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: ELAINE DABBO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: ELAINE DABBO no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CARIN PETERSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CARIN PETERSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CARIN PETERSON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CHRISTINE B FEOLA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: JEANINE HAMMITT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: JEANINE HAMMITT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: HAROLD HORAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: SHALOM STEIN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: SHALOM STEIN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: PEACE CAPITAL HOLDINGS II LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: PC MIDDLEBURY OPCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: PC MIDDLEBURY TOPCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: ROBERT J HOCH appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: SMS 2021 TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv

Recent changes on this record

1 July 2026: JENNIFER CISOWSKI no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER CISOWSKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 March 2026: SHALOM STEIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: ROBERT J HOCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SHALOM STEIN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SHALOM STEIN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SHALOM STEIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PEACE CAPITAL HOLDINGS II LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JRK INVESTMENTS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JRK INVESTMENTS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DES CAPITAL LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DES CAPITAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PC MIDDLEBURY TOPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: ROBERT J HOCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: ROBERT J HOCH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PC MIDDLEBURY PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: KRISTIN LAGANA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: KRISTIN LAGANA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: KRISTIN LAGANA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SMS 2021 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MIDDLEBURY PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JACOB KLUGMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JACOB KLUGMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PETER KNIGHTS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PETER KNIGHTS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MARNIE TETREAULT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MARNIE TETREAULT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DANIEL STERNBUCH appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DANIEL STERNBUCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: ADEDAYO ADETOLA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: ADEDAYO ADETOLA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JENNIFER CISOWSKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
8 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
26 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
5 January 2024: BRYNA POTSDAM no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CAROL HORAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CYNTHIA FASSETT RESHA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CYNTHIA FASSETT RESHA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CYNTHIA FASSETT RESHA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: LINDA KAPLIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	20 June 2025	20 June 2025	1	3
2	25 September 2023	25 September 2023	10	1
3	15 September 2021	15 September 2021	3	0

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

14 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
19 September 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	Yes	Past Non-Compliance
25 September 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	27 November 2023
25 September 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.	D	No	Deficient, Provider has date of correction	27 November 2023
25 September 2023	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	B	No	Deficient, Provider has date of correction	27 November 2023
25 September 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.	D	No	Deficient, Provider has date of correction	27 November 2023
25 September 2023	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	No	Deficient, Provider has date of correction	27 November 2023
25 September 2023	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	E	No	Deficient, Provider has date of correction	27 November 2023
25 September 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	27 November 2023
25 September 2023	Health	F 0838	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	B	No	Deficient, Provider has date of correction	27 November 2023
25 September 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	27 November 2023
25 September 2023	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	27 November 2023
15 September 2021	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	23 November 2021
15 September 2021	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	23 November 2021
15 September 2021	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	23 November 2021

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
19 September 2025	Fine	$12,735			139493

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	COMPLETE CARE AT MIDDLEBURY LLC
Date First Approved to Provide Medicare and Medicaid Services	1967-01-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Naugatuck Vly
Telephone Number	2037582471
Chain Name	COMPLETE CARE
Chain ID	157
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Both
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	58
Average Number of Residents per Day	53.9
Overall Rating	5
Health Inspection Rating	5
QM Rating	4
Long-Stay QM Rating	2
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 COMPLETE CARE AT MIDDLEBURY: 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: JENNIFER CISOWSKI no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for COMPLETE CARE AT MIDDLEBURY

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 Connecticut 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.

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