Skilled nursing facility · CMS certification number 075306
PILGRIM MANOR
CROMWELL, Connecticut · Medicare and Medicaid
Certified beds, as filed in Care Compare: 60
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 15 April 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,399,927 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,286,667 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,113,260 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,091,346 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $21,914 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $145,058 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $166,972 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $166,972 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,960 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,013 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 7,569 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,858 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,440 | CMS-2540-10 worksheet S300001 line 800 column 700 |
CMS report record 1419864, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 March 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,452,034 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,725,964 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,726,070 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,411,501 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $314,569 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $595,041 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $909,610 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $909,610 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,451 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 324.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375753, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 March 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,355,439 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,355,439 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,206,804 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $148,635 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $683,249 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $831,884 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $831,884 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,066 | CMS-2540-10 worksheet S300001 line 800 column 700 |
CMS report record 1345000, read from the public cost report file SNF10FY2022.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 21 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,354,184 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,354,184 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,711,307 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$357,123 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,107,083 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,749,960 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,749,960 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,138 | CMS-2540-10 worksheet S300001 line 800 column 700 |
CMS report record 1314467, 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 25 June 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,142,013 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,142,013 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,484,980 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $657,033 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $506,161 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,163,194 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,163,194 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,526 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 610.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1287445, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 February 2019 to 30 September 2019 — a reporting period of 241 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,084,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,084,435 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,645,089 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $439,346 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $245,387 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $684,733 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $684,733 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,065 | CMS-2540-10 worksheet S300001 line 800 column 700 |
CMS report record 1253841, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 January 2018
Cost report for 1 February 2017 to 31 January 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 September 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,401,621 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,401,621 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,808,815 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $592,806 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $275,364 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $868,170 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $868,170 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,920 | CMS-2540-10 worksheet S300001 line 800 column 700 |
CMS report record 1211285, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 January 2017
Cost report for 1 February 2016 to 31 January 2017 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 8 September 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,412,053 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,412,053 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,653,416 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $758,637 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $234,312 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $992,949 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $992,949 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,365 | CMS-2540-10 worksheet S300001 line 800 column 700 |
CMS report record 1175677, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 January 2016
Cost report for 1 February 2015 to 31 January 2016 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,215,569 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,215,569 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,650,566 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $565,003 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $299,949 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $864,952 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $864,952 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,218 | CMS-2540-10 worksheet S300001 line 800 column 700 |
CMS report record 1143214, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 January 2015
Cost report for 1 February 2014 to 31 January 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,257,923 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,607,825 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,650,098 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,603,777 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $46,321 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $291,909 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $338,230 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $338,230 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,377 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 836.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109188, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 31 January 2014
Cost report for 1 February 2013 to 31 January 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,283,292 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,097,782 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,185,510 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,917,137 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $268,373 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $280,165 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $548,538 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $548,538 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,046 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 826.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105050, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 January 2013
Cost report for 1 February 2012 to 31 January 2013 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,510,309 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,998,349 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,511,960 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,290,414 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $221,546 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $599,404 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $820,950 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $820,950 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,914 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 719 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 203.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047109, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 January 2012
Cost report for 1 February 2011 to 31 January 2012 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,764,753 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,869,388 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,895,365 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,163,060 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $732,305 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $637,847 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,370,152 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,370,152 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,112 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 874.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 211.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1018659, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 January 2011
Cost report for 1 February 2010 to 31 January 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 September 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,374,432 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,789,804 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $584,628 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $320,727 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $905,355 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,249 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 104 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 932.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417226, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 31 January 2010
Cost report for 1 February 2009 to 31 January 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,333,670 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,089,262 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $244,408 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $289,431 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $533,839 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,501 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 645.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 386649, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 January 2009
Cost report for 1 February 2008 to 31 January 2009 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 August 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,162,866 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,224,077 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$61,211 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $639,712 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $578,501 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,758 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 540.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 164.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355223, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 31 January 2008
Cost report for 1 February 2007 to 31 January 2008 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 February 2009.
None of these figures is carried on this report.
CMS report record 333113, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 31 January 2007
Cost report for 1 February 2006 to 31 January 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 December 2007.
None of these figures is carried on this report.
CMS report record 299214, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 31 January 2006
Cost report for 1 February 2005 to 31 January 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 May 2007.
None of these figures is carried on this report.
CMS report record 279639, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 31 January 2005
Cost report for 1 February 2004 to 31 January 2005 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 3 May 2006.
None of these figures is carried on this report.
CMS report record 248489, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 January 2004
Cost report for 1 February 2003 to 31 January 2004 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 August 2005.
Net income, stated at moderate confidence: −$579 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 229440, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 31 January 2003
Cost report for 1 February 2002 to 31 January 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 March 2004.
Net income, stated at moderate confidence: −$104,614 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 171616, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 31 January 2002
Cost report for 1 February 2001 to 31 January 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,186,580 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,232,361 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$45,781 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $133,460 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $165 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $87,514 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,763 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 59 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,682.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 351.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141708, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 31 January 2001
Cost report for 1 February 2000 to 31 January 2001 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,098,821 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,992,228 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $106,593 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,143 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $164,735 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,988 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 46 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,652.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 347.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15990, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 31 January 2000
Cost report for 1 February 1999 to 31 January 2000 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 July 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,897,402 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,027,555 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$130,153 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $104,392 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$25,761 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,497 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 741.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 186.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15988, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 31 January 1999
Cost report for 1 February 1998 to 31 January 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 July 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,809,677 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,831,176 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$21,499 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $113,229 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $91,730 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,000 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 53 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 489.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 301.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15986, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 31 January 1998
Cost report for 1 February 1997 to 31 January 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 13 April 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,084,677 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,517,387 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,567,290 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,999 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,618,289 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,193 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 30 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 9,262 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 539.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15985, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 31 January 1997
Cost report for 1 February 1996 to 31 January 1997 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 April 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,599,317 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,426,107 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $173,210 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,094 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $197,304 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,276 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 26 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 4,223.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 626 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15984, 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 |
|---|---|---|---|---|
| COVENANT LIVING COMMUNITIES & SERVICES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/03/2014 |
| AAGAARD, JON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2013 |
| CHRISTENSEN, PAMELA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2013 |
| EASTBURG, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2013 |
| ESPINOSA, MARC | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2013 |
| HODGKINSON, DONALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2013 |
| MANLOVE, MATT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2017 |
| OXENDALE, ROGER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2017 |
| STANTE, MARLENE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2013 |
| VINING, ANNE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2013 |
| CUNLIFFE, TERRI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/19/2009 |
| ERICKSON, DAVID | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/31/2008 |
| HOLT, JODY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/02/2017 |
| COVENANT LIVING COMMUNITIES & SERVICES | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/03/2014 |
| HOLT, JODY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2013 |
| CUNLIFFE, TERRI | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 03/19/2009 |
| HOLT, JODY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/02/2017 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of COVENANT HOME, INC. CONNECTICUT (enrollment ID O20090921000634).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| COVENANT LIVING COMMUNITIES & SERVICES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/3/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANNE E VINING | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2013 | 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. |
| DONALD HODGKINSON | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2013 | 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. |
| JON P AAGAARD | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2013 | 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. |
| MARC E ESPINOSA | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2013 | 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. |
| MARK C EASTBURG | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2013 | 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. |
| MARLENE E STANTE | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2013 | 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. |
| MATT MANLOVE | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2017 | 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. |
| PAMELA CHRISTENSEN | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2013 | 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. |
| ROGER OXENDALE | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2017 | 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. |
| DAVID ERICKSON | 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. | 1/31/2008 | 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. |
| JODY HOLT | 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. | 6/2/2017 | 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. |
| TERRI CUNLIFFE | 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. | 3/19/2009 | 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. |
| COVENANT LIVING COMMUNITIES & SERVICES | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 1/3/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| JODY HOLT | 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. | 7/1/2013 | 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. |
| JODY HOLT | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/2/2017 | 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. |
| TERRI CUNLIFFE | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/19/2009 | 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: MARC E ESPINOSA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARC E ESPINOSA appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- 1 July 2026: MARC E ESPINOSA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARC E ESPINOSA appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 15 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 29 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 28 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 21 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 25 June 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 15 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 19 September 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 17 September 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 8 September 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 30 September 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 9 September 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 25 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 21 August 2013: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 5 November 2012: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 8 September 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 27 August 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 24 August 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 3 February 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 21 December 2007: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 29 May 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 3 May 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 1 August 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- 24 March 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- 7 April 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- 28 March 2002: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- 12 July 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- 3 July 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- 13 April 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- 13 April 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 23 April 2024 | 23 April 2024 | 6 | 0 |
| 2 | 31 January 2020 | 31 January 2020 | 8 | 0 |
| 3 | 7 March 2019 | 7 March 2019 | 2 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
16 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 1 May 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 | 22 May 2025 |
| 1 May 2025 | 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 | 22 May 2025 |
| 1 May 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 22 May 2025 |
| 1 May 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 22 May 2025 |
| 24 May 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 | 14 June 2024 |
| 23 April 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 16 May 2024 |
| 23 April 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 16 May 2024 |
| 23 April 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 16 May 2024 |
| 23 April 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 16 May 2024 |
| 23 April 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 16 May 2024 |
| 23 April 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 16 May 2024 |
| 31 January 2020 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | 28 February 2020 |
| 31 January 2020 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | 28 February 2020 |
| 31 January 2020 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | No | Deficient, Provider has date of correction | 28 February 2020 |
| 31 January 2020 | 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 | No | Deficient, Provider has date of correction | 28 February 2020 |
| 7 March 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 27 March 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 |
|---|---|---|---|---|---|
| 23 April 2024 | Fine | $12,048 | 5522 |
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 | Non profit - Corporation |
| Legal Business Name | COVENANT HOME, INC. CONNECTICUT |
| Date First Approved to Provide Medicare and Medicaid Services | 1987-02-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Capitol |
| Telephone Number | 8606355511 |
| Chain Name | COVENANT LIVING |
| Chain ID | 168 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 60 |
| Average Number of Residents per Day | 54.3 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on PILGRIM MANOR: 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: MARC E ESPINOSA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for PILGRIM MANOR
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 075306.