Skilled nursing facility · CMS certification number 075279
COMPLETE CARE AT KIMBERLY HALL NORTH
WINDSOR, Connecticut · Medicare and Medicaid
Certified beds, as filed in Care Compare: 150
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,385,533 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $492,857 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,892,676 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,330,523 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,562,153 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $63,320 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,625,473 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,625,473 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 54,900 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 990 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 42,668 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,994 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 52,652 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 12 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 70 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 74 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 82.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 609.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 337.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1419862, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 15 November 2022 to 30 September 2023 — a reporting period of 319 days, on form CMS-2540-10, settled, processed by CMS on 11 April 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,927,183 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $383,626 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,543,557 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,036,294 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$492,737 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $372,338 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$120,399 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$120,399 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,565 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 577.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 299.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376227, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 14 November 2022
Cost report for 1 October 2022 to 14 November 2022 — a reporting period of 44 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 6 June 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,685,374 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $914,867 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,770,507 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,076,527 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,306,020 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$198 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,306,218 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,306,218 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,072 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 15 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,338.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 404.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1349758, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 March 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,451,195 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,796,933 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,654,262 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,021,584 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$367,322 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,349,979 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $982,657 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $982,657 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,467 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,191.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 396.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313297, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 March 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,689,834 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,532,085 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,157,749 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,829,968 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$672,219 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$672,219 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$672,219 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,495 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 556.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 399.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280779, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,061,094 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,347,074 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,714,020 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,501,374 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $212,646 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $212,646 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $212,646 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,842 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,441.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 593.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251761, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,453,634 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,135,891 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,317,743 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,954,480 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$636,737 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$636,737 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$636,737 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,409 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 857.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 465.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222845, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,201,704 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,145,114 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,056,590 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,593,728 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,537,138 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$6,537,138 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,537,138 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,031 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 96.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 893.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 388.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189471, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 September 2016
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,727,690 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,519,417 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,208,273 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,856,030 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,647,757 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $107 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,647,650 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,647,650 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,113 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,182.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 410.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153613, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 September 2015
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 February 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,586,439 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,095,142 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,491,297 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,812,204 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,320,907 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $144 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,320,763 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,320,763 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,760 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,113.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 385.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119368, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 September 2014
Cost report for 1 January 2014 to 30 September 2014 — a reporting period of 272 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 20 February 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,641,218 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,253,435 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,387,783 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,120,023 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,732,240 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,732,240 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,732,240 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,541 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 698.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 320.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1086175, 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 30 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,096,985 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,371,963 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,725,022 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,261,104 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,536,082 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,536,082 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,536,082 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,601 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 91.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,266.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 423.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074268, 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 24 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,451,204 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,555,958 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,895,246 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,445,897 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,550,651 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,550,651 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,550,651 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,486 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,127 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 417.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043407, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 April 2011 to 31 December 2011 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 November 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,670,659 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,116,768 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,553,891 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,000,599 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$446,708 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$446,708 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$446,708 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,007 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 95.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,290.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 445.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1020975, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 30 September 2010
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 April 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,445,625 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,260,538 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,185,087 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $1,185,087 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,065 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 88.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,313.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 573.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397310, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 30 September 2009
Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 April 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,039,341 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,465,748 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $573,593 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $573,593 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,705 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,558.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 301.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 366991, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 30 September 2008
Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 April 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,825,510 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,087,682 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $737,828 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $737,828 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,154 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,216.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 368.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337633, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 30 September 2007
Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 April 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,812,293 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,633,326 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,178,967 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $1,178,967 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,903 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 118 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,975.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 439.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306456, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 30 September 2006
Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 September 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,313,399 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,892,725 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,420,674 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $1,420,674 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,782 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 156 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,453.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 325.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 293728, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 30 September 2005
Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 August 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,715,761 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,816,191 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,899,570 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $1,899,570 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,718 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 215 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 384.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 235.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261825, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 30 September 2004
Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 October 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,714,873 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,503,206 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,211,667 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,720 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,219,387 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,951 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,224.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 335.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 234854, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 30 September 2003
Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,412,690 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,399,706 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,012,984 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,135 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,032,119 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,370 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 229 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 97.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 361.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 219.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195076, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 30 September 2002
Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 August 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,200,283 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,052,509 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,147,774 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,759 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,162,533 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,183 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 75.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 419.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 261.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156338, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 30 September 2001
Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,956,466 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,455,091 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $501,375 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,119 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $514,494 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,859 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 398.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 229.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 128048, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 30 September 2000
Cost report for 1 October 1999 to 30 September 2000 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 23 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,278,821 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,464,277 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $814,544 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71,168 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $885,712 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,706 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 270 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 308.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 195.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160410, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 30 September 1999
Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 25 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,502,052 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,744,703 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $757,349 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,750 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $771,099 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,369 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 258 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 248.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160788, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 30 September 1998
Cost report for 1 October 1997 to 30 September 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 23 April 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,821,012 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,798,744 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,022,268 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,075 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $34,041 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,057,302 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,273 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 227 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 225.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306332, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 30 September 1997
Cost report for 1 October 1996 to 30 September 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 20 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,417,316 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,806,843 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $610,473 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,616 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $664,089 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,307 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 279 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 180.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302675, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 30 September 1996
Cost report for 1 October 1995 to 30 September 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 30 July 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,639,201 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,188,144 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $451,057 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$21,429 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $429,628 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,344 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 289 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 167.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 155591, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| PC GEN CT OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 11/15/2022 |
| PC GEN CT OPCO TOPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 11/15/2022 |
| PC GEN CT TOPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 11/15/2022 |
| SMS 2021 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 11/15/2022 |
| BANTON, BERNADETTE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| BROWN, NATALIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/27/2024 |
| DES CAPITAL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| GALLAGHER, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| HOCH, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| JRK INVESTMENTS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| KIMBERLY HALL NORTH PROPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| KLUGMAN, JACOB | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| LAGANA, KRISTIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| PC GEN CT PROPCO HOLDCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| PC GEN CT PROPCO TOPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/10/2023 |
| PC GEN CT TOPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| PEACE CAPITAL HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| SMS 2021 TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| STERNBUCH, DANIEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| TETREAULT, MARNIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| STEIN, SHALOM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/15/2022 |
| DES CAPITAL LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/15/2022 |
| JRK INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/15/2022 |
| KLUGMAN, JACOB | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 11/15/2022 |
| STEIN, SHALOM | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 11/15/2022 |
| STERNBUCH, DANIEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 11/15/2022 |
| STEIN, SHALOM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/15/2022 |
| BROWN, NATALIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/27/2024 |
| GALLAGHER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/15/2022 |
| HOCH, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/15/2022 |
| LAGANA, KRISTIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/15/2022 |
| TETREAULT, MARNIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/15/2022 |
| STEIN, SHALOM | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of COMPLETE CARE AT KIMBERLY HALL NORTH LLC (enrollment ID O20230127002021).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PC GEN CT OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PC GEN CT OPCO TOPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PC GEN CT TOPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 90.2 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PEACE CAPITAL HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 90.2 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 85.78 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| BERNADETTE BANTON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/15/2022 | 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. | 11/15/2022 | 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. | 11/15/2022 | 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. | 11/15/2022 | 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. |
| JAMES P GALLAGHER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/15/2022 | 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. | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| KIMBERLY HALL NORTH 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. | 11/15/2022 | 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. | 11/15/2022 | 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. | 11/15/2022 | 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. |
| NATALIE BROWN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/27/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PC GEN CT PROPCO HOLDCO LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PC GEN CT PROPCO 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 |
| PC GEN CT 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. | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PEACE CAPITAL HOLDINGS LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| 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. | 11/15/2022 | 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. | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHALOM STEIN | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/15/2022 | 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 | INDIRECT OWNERSHIP INTEREST | 4.9 | 11/15/2022 | 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 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JACOB KLUGMAN | Individual | INDIRECT OWNERSHIP INTEREST | 4.9 | 11/15/2022 | 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 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SHALOM STEIN | Individual | INDIRECT OWNERSHIP INTEREST | 4.41 | 11/15/2022 | 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. | 11/15/2022 | 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. |
| JAMES P GALLAGHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/15/2022 | 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. | 11/15/2022 | 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. | 11/15/2022 | 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. |
| NATALIE BROWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/27/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| 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. | 11/15/2022 | 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. | 11/15/2022 | 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: PEACE CAPITAL HOLDINGS LLC (DE) 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: PEACE CAPITAL HOLDINGS LLC (DE) no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 December 2025: ROBERT J HOCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: SHALOM STEIN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: SHALOM STEIN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: SHALOM STEIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JRK INVESTMENTS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JRK INVESTMENTS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NATALIE BROWN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NATALIE BROWN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JAMES P GALLAGHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JAMES P GALLAGHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DES CAPITAL LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DES CAPITAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ROBERT J HOCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ROBERT J HOCH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: KRISTIN LAGANA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: KRISTIN LAGANA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: SMS 2021 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JACOB KLUGMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JACOB KLUGMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: BERNADETTE BANTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MARNIE TETREAULT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MARNIE TETREAULT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PC GEN CT PROPCO TOPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PC GEN CT PROPCO HOLDCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DANIEL STERNBUCH appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DANIEL STERNBUCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PC GEN CT TOPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: KIMBERLY HALL NORTH PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PEACE CAPITAL HOLDINGS LLC (DE) appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 15 May 2023: GENESIS HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: GHC HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: WELLTOWER INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: MICHAEL T BERG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: MICHAEL T BERG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: STEVEN E FISHMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: STEVEN E FISHMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: STEVEN E FISHMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ZAC PROPERTIES XI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: GENESIS HEALTHCARE INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: WENDY A LABATE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: WENDY A LABATE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ARNOLD M WHITMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ARNOLD M WHITMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ARNOLD M WHITMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: STEPHEN S YOUNG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: SUN HEALTHCARE GROUP, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: MICHAEL S SHERMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: GENESIS HEALTHCARE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: GENESIS HEALTHCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: SUNDANCE REHABILITATION HOLDCO INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: GENESIS OPERATIONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: FC-GEN OPERATIONS INVESTMENT LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: DIANE LOUISE MORRIS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: GEN OPERATIONS II, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KEN CULLEROT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: GEN OPERATIONS I, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: HCCF MANAGEMENT GROUP XI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: GENESIS CT HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: THOMAS RUSSO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: PC GEN CT OPCO TOPCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: SHALOM STEIN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ROBERT J HOCH appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: PC GEN CT OPCO HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: SMS 2021 TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: PC GEN CT TOPCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: PEACE CAPITAL HOLDINGS LLC (DE) appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Recent changes on this record
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC (DE) 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: PEACE CAPITAL HOLDINGS LLC (DE) no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 December 2025: ROBERT J HOCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: SHALOM STEIN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: SHALOM STEIN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: SHALOM STEIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JRK INVESTMENTS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JRK INVESTMENTS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NATALIE BROWN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NATALIE BROWN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JAMES P GALLAGHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JAMES P GALLAGHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DES CAPITAL LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DES CAPITAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ROBERT J HOCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ROBERT J HOCH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: KRISTIN LAGANA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: KRISTIN LAGANA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: SMS 2021 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JACOB KLUGMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JACOB KLUGMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: BERNADETTE BANTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MARNIE TETREAULT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MARNIE TETREAULT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PC GEN CT PROPCO TOPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PC GEN CT PROPCO HOLDCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DANIEL STERNBUCH appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DANIEL STERNBUCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PC GEN CT TOPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: KIMBERLY HALL NORTH PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PEACE CAPITAL HOLDINGS LLC (DE) appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 18 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 11 April 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 6 June 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2023.zip
- 15 May 2023: GENESIS HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: GHC HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: WELLTOWER INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: MICHAEL T BERG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 19 September 2024 | 19 September 2024 | 17 | 4 |
| 2 | 26 May 2022 | 26 May 2022 | 14 | 14 |
| 3 | 26 September 2019 | 26 September 2019 | 10 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
41 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 5 May 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 8 June 2026 |
| 5 May 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 8 June 2026 |
| 5 May 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 8 June 2026 |
| 5 May 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | 8 June 2026 |
| 5 May 2026 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | 8 June 2026 |
| 10 April 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | |
| 10 April 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 15 May 2026 |
| 29 July 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 5 September 2025 |
| 29 July 2025 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Deficient, Provider has date of correction | 5 September 2025 |
| 27 June 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 7 August 2025 |
| 27 June 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 7 August 2025 |
| 4 February 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Past Non-Compliance | 30 January 2025 |
| 23 December 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 3 February 2025 |
| 19 September 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | B | No | Deficient, Provider has date of correction | 28 October 2024 |
| 19 September 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 28 October 2024 |
| 19 September 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 28 October 2024 |
| 19 September 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 28 October 2024 |
| 19 September 2024 | 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 | 28 October 2024 |
| 19 September 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 28 October 2024 |
| 19 September 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | 28 October 2024 |
| 19 September 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | 28 October 2024 |
| 19 September 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | 28 October 2024 |
| 19 September 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 28 October 2024 |
| 8 May 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Past Non-Compliance | 19 April 2024 |
| 8 May 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 19 June 2024 |
| 26 May 2022 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | No | Deficient, Provider has date of correction | 6 July 2022 |
| 26 May 2022 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | No | Deficient, Provider has date of correction | 6 July 2022 |
| 26 May 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | No | Deficient, Provider has date of correction | 12 June 2022 |
| 26 May 2022 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | No | Deficient, Provider has date of correction | 6 July 2022 |
| 26 May 2022 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 6 July 2022 |
| 26 May 2022 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | J | No | Deficient, Provider has date of correction | 12 June 2022 |
| 26 May 2022 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | No | Deficient, Provider has date of correction | 6 July 2022 |
| 26 May 2022 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | No | Deficient, Provider has date of correction | 6 July 2022 |
| 26 September 2019 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | 5 November 2019 |
| 26 September 2019 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | B | No | Deficient, Provider has date of correction | 5 November 2019 |
| 26 September 2019 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 5 November 2019 |
| 26 September 2019 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 5 November 2019 |
| 26 September 2019 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 5 November 2019 |
| 26 September 2019 | 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 | 5 November 2019 |
| 26 September 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 5 November 2019 |
| 26 September 2019 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | 5 November 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 10 April 2026 | Fine | $13,065 | 139685 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | COMPLETE CARE AT KIMBERLY HALL NORTH LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1977-01-11 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Capitol |
| Telephone Number | 8606886443 |
| 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 | 150 |
| Average Number of Residents per Day | 142.8 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on COMPLETE CARE AT KIMBERLY HALL NORTH: 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: PEACE CAPITAL HOLDINGS LLC (DE) no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
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The citable document for COMPLETE CARE AT KIMBERLY HALL NORTH
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.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 075279.