Velarion Records

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Skilled nursing facility · CMS certification number 075356

NOTRE DAME HEALTH AND REHABILITATION CENTER

NORWALK, 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 8 April 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$9,188,947CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,712,599CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,476,348CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,187,604CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$711,256CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$374,399CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$336,857CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$336,857 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,960CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,884CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days14,763CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3,790CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components20,437CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges50CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges2CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges39CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components91CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days7,381.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days224.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1419887, 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 26 March 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$8,637,380CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,889,359CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,748,021CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,624,074CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$876,053CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,169,354CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$293,301CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $293,301 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,445CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components108CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.58CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days481.16CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days189.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375552, 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 8 March 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,530,232CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,085,601CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,444,631CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,048,868CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,604,237CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$136,920CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,467,317CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,467,317 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,357CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components52CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days3,653.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days295.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1343972, 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.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,292,009CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$995,833CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,296,176CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,943,047CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,646,871CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,216,315CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$430,556CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$430,556 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,878CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components89CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days430.57CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days167.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314088, 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 11 May 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$7,990,359CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,621,816CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,368,543CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,168,938CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$800,395CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,608,333CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$807,938CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $807,938 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,646CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components128CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days313.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days145.67CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283645, 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 28 April 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$9,615,949CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,743,586CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,872,363CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,076,813CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$204,450CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$4,328CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$208,778CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$208,778 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,352CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components97CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,049.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days220.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254624, 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 6 March 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$9,762,998CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,933,106CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,829,892CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,307,599CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$477,707CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$118,586CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$359,121CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$359,121 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,609CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components150CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days406.94CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days137.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1220601, 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 13 February 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$9,328,415CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,589,653CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,738,762CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,048,498CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$309,736CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$176,094CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$133,642CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$133,642 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,628CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components129CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.01CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days565.17CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days159.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1183718, 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 18 April 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$9,303,274CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,489,362CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,813,912CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,840,353CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$26,441CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$198,991CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$172,550CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $172,550 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,609CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components108CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days811.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days190.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1155863, 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 12 February 2016.

None of these figures is carried on this report.

CMS report record 1118978, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 30 September 2014

Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 April 2015.

None of these figures is carried on this report.

CMS report record 1088457, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 30 September 2013

Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 March 2014.

None of these figures is carried on this report.

CMS report record 1057547, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 September 2012

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 April 2013.

None of these figures is carried on this report.

CMS report record 1026743, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 September 2011

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 March 2012.

None of these figures is carried on this report.

CMS report record 427033, read from the public cost report file SNFFY2011.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 25 April 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$5,533,910CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,574,977CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$41,067CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$468,303CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$612CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $426,624 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,751CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components52CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days76.29CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days865.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days418.29CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 397934, 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 14 April 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$5,467,286CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,388,730CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$78,556CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$236,292CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$119,120CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $195,728 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,826CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components62CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days64.83CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days641.04CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days352.03CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 367458, 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 27 April 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$5,263,898CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,220,405CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$43,493CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$152,114CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$113,200CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $82,407 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,897CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components47CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.88CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,144.27CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days465.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 337830, 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 25 November 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,937,959CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,059,184CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$121,225CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$228,410CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$57,783CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $49,402 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,798CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components29CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days46.17CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,268.57CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days751.66CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 328905, 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 11 May 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,887,334CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,884,897CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$2,437CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$346,805CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$16,557CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $332,685 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,790CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components45CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days63.29CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,297.92CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days484.22CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 278309, 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 April 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$4,607,308CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,557,747CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$49,561CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$243,904CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$45,529CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $247,936 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,619CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components69CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days64.07CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days574.27CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days313.32CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 247839, 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 21 March 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$4,336,668CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,294,407CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$42,261CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$236,369CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$75,963CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $202,667 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,798CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components64CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days57.09CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,071.36CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days340.59CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 211748, 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 31 March 2004.

Net income, stated at moderate confidence: $62,750 (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 172537, 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, as submitted, processed by CMS on 7 April 2003.

Net income, stated at moderate confidence: $390 (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 141203, 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 2 June 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$4,085,590CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,033,647CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$51,943CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$108,423CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$138,466CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $21,900 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,621CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components50CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days59.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days845CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days432.42CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 146824, 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, settled, processed by CMS on 11 February 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$3,936,871CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,090,652CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$153,781CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$180,906CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$5,874CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $21,251 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,271CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components60CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days61.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days918.41CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days354.52CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 113557, 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, settled, processed by CMS on 29 August 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$3,878,988CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,909,213CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$30,225CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$115,420CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $85,195 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,523CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components72CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days58.22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,074.15CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days298.93CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 35083, 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, settled, processed by CMS on 3 August 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$3,803,717CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,933,296CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$129,579CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$107,936CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$21,643 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,655CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components89CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days61.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days678.22CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days232.08CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75887, 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, settled, processed by CMS on 11 September 1998.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$3,522,932CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,736,832CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$213,900CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$167,438CMS-2540-96 worksheet G300000 line 2600 column 100

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

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,561CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components59CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54.91CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days712.05CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days365.44CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75885, 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, as submitted, processed by CMS on 29 April 1997.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$3,440,116CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,774,225CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$334,109CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$143,882CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$653CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$190,880 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,847CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components14CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days358.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days2,001.75CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days1,560.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75884, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
GOLDER, FRANCOISECORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2013
DEVINE, JOHNCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2010
MONAST, MARIE LUCIANCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2001
PAUL, DANACORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2001
SIMON, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2010
PAUL, DANAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/02/2013

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NOTRE DAME CONVALESCENT HOME INC (enrollment ID O20120809000590).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
FRANCOISE GOLDERIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2013
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.
DANA PAULIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2001
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN DEVINEIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2010
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.
MARIE LUCIAN MONIQUE HELINA MONASTIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2001
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 SIMONIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2010
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.
DANA PAULIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/2/2013
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.

Changes in ownership

No change in ownership appears in the CMS files on record since 20 September 2022.

Recent changes on this record

  • 8 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • 26 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • 8 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
  • 11 May 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • 28 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 6 March 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • 13 February 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • 18 April 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • 12 February 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • 16 April 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • 26 March 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • 19 April 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • 30 March 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
  • 25 April 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • 14 April 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • 27 April 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • 25 November 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • 11 May 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • 24 April 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
  • 21 March 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
  • 31 March 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
  • 2 June 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
  • 7 April 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
  • 11 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
  • 29 August 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
  • 3 August 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
  • 11 September 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
  • 29 April 1997: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
127 August 202427 August 202478
219 May 202219 May 202255
33 October 20193 October 201930

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

Deficiencies cited

15 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
9 December 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction23 January 2026
27 May 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correction22 July 2025
27 August 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction20 October 2024
27 August 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction20 October 2024
27 August 2024HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.DNoDeficient, Provider has date of correction20 October 2024
27 August 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction20 October 2024
27 August 2024HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correction20 October 2024
27 August 2024HealthF 0887Infection Control DeficienciesEducate 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.DNoDeficient, Provider has date of correction20 October 2024
19 May 2022HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction30 June 2022
19 May 2022HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction30 June 2022
19 May 2022HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction30 June 2022
19 May 2022HealthF 0886Infection Control DeficienciesPerform COVID19 testing on residents and staff.DNoDeficient, Provider has date of correction30 June 2022
3 October 2019HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction15 November 2019
3 October 2019HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GNoDeficient, Provider has date of correction15 November 2019
3 October 2019HealthF 0810Nutrition and Dietary DeficienciesProvide special eating equipment and utensils for residents who need them and appropriate assistance.DNoDeficient, Provider has date of correction15 November 2019

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
9 December 2025Fine$8,278138189

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameNOTRE DAME CONVALESCENT HOME INC
Date First Approved to Provide Medicare and Medicaid Services1991-10-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishWestern Ct
Telephone Number2038475893
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds60
Average Number of Residents per Day56.3
Overall Rating4
Health Inspection Rating4
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating5
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 8 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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The citable document for NOTRE DAME HEALTH AND REHABILITATION CENTER

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