Skilled nursing facility · CMS certification number 075371
Lutheran Home Of Southbury Inc
SOUTHBURY, Connecticut · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,877,963 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,637,387 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,240,576 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,966,207 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $274,369 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $641,609 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $915,978 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $860,489 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 49,044 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,552 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 25,455 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 17,213 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 47,220 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 164 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 39 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 145 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 348 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 652.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1419891, 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 21 March 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,742,789 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,899,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,843,477 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,253,561 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,410,084 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $258,996 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,151,088 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,151,088 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,704 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 237 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 699.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 192.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375319, 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 18 April 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,407,771 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,051,786 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,355,985 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,827,886 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,471,901 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,263,795 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $791,894 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $98,574 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,515 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 596.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 205.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345924, 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 | $21,040,852 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,356,564 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,684,288 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,406,262 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $278,026 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,152,494 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,430,520 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,430,520 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,647 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 637 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 99.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314388, 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 13 May 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,483,480 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,777,824 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,705,656 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,916,411 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$210,755 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,296,321 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,085,566 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,085,566 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,863 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 669 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 76.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283796, 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 13 May 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,837,069 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,654,718 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,182,351 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,801,784 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $380,567 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $355,867 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $736,434 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $736,434 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,488 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 757 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 84.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1255351, 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 30 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,346,235 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,924,622 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,421,613 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,108,414 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $313,199 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $631,565 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $944,764 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $944,764 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,879 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 604 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 128.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223471, 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 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,156,230 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,543,917 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,612,313 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,375,198 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $237,115 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $410,151 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $647,266 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $804,644 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,140 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 398 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 182.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1187969, 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 19 April 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,049,471 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,737,175 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,312,296 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,964,376 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $347,920 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $317,567 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $665,487 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $569,845 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,861 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 356 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 172.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156076, 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 13 May 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,769,058 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,769,940 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,999,118 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,689,506 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$690,388 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,259,413 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $569,025 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $538,259 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,507 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 181 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 380.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 251.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1123825, 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 29 April 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,377,139 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,370,102 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,007,037 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,876,311 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$869,274 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $773,279 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$95,995 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$171,925 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,623 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 789.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 398.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089293, 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 10 November 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,294,731 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,704,456 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,590,275 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,360,786 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$770,511 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $486,455 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$284,056 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$499,639 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,131 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 358.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1079975, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,911,576 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,108,104 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,803,472 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,912,181 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $891,291 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $531,822 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,423,113 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,348,091 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,917 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 379.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026852, 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 7 June 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,747,938 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,629,500 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $118,438 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $635,520 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $113,848 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $640,110 (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 | 134 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,380 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 236 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 368.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 200.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430117, 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 19 July 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,802,382 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,855,262 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$52,880 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $251,284 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,870 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $188,534 (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 | 134 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,671 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 221 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 457.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 211.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 411135, 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 30 December 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,085,379 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,148,884 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$63,505 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $416,612 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $176,483 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $176,624 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,422 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 257 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 441.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 184.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 391983, 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 11 February 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,423,061 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,911,948 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$488,887 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $803,194 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $354,707 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$40,400 (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 | 134 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,967 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 302 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 155.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363881, 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 30 September 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,052,276 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,461,810 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$409,534 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $972,369 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $46,777 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $516,058 (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 | 134 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,643 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 78.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,008.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 768.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 326300, 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 22 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,979,928 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,504,070 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $475,858 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $387,784 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $41,425 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $822,217 (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 | 134 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,863 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,009.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 477.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 279250, 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 May 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,835,569 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,617,376 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $218,193 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $374,520 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $56,156 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $536,557 (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 | 134 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,951 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 390 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 303.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 117.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 250198, 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 19 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,103,666 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,379,662 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$275,996 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $204,661 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $226,568 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$297,903 (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 | 134 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,977 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 222 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 517.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 207.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 217338, 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 27 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,076,198 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,137,682 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$61,484 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $371,595 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $58,402 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $251,709 (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 | 134 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,862 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 220 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 611.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 208.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 178381, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 30 September 2002
Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,610,756 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,567,677 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$956,921 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $207,496 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $401,755 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,151,180 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,743 | 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 | 45.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 620.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 439.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160660, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 30 September 2001
Cost report for 1 January 2001 to 30 September 2001 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 24 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,608,747 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,845,734 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$236,987 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $190,735 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$46,252 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,072 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 629.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 313.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160646, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,171,806 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,163,390 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $8,416 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $320,009 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $328,425 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,279 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 720.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 432.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116822, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 June 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,978,852 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,146,959 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,168,107 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $173,164 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$994,943 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,711 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 653 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 346.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 35133, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 September 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,316,496 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,902,874 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$586,378 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $459,659 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $353,053 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$479,772 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,087 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 124 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 147.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 498.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 379.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 35132, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 August 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,248,427 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,268,363 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$19,936 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $325,238 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,951 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $302,351 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,364 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 805.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 638.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 8156, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on 24 November 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,989,060 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,234,180 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$245,120 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $352,472 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $107,352 (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 | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,592 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 103.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,407.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 852.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 8155, 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 |
|---|---|---|---|---|
| ASCENTRIA CARE ALLIANCE INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/25/2025 |
| BAROODY, ZIAD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| BOVILL, ANGELA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2025 |
| BROWNE, TARA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/14/2024 |
| HANSCOM, KRISTIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/30/2024 |
| KHAN, GHULAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| ONEAL, GARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/14/2024 |
| RUSSO, NICHOLAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2025 |
| TAPPAN, CHRISTINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/14/2024 |
| BARTHOLOMEW, ALEXANDER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| COWLAGI, ASHISH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| GOODMAN, ROSS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2013 |
| MAYO, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2014 |
| ROBERTSON, KEITH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| BOVILL, ANGELA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2018 |
| HANSCOM, KRISTIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| ONEAL, GARY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| RUSSO, NICHOLAS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2014 |
| TAPPAN, CHRISTINE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| BARTHOLOMEW, ALEXANDER | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2024 |
| BROWNE, TARA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2024 |
| ASCENTRIA CARE ALLIANCE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/08/2015 |
| BAROODY, ZIAD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| BOVILL, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2014 |
| KHAN, GHULAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LUTHERAN HOME OF SOUTHBURY INC (enrollment ID O20071211000058).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ANGELA B BOVILL | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/2/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ASCENTRIA CARE ALLIANCE INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/25/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHRISTINE TAPPAN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/14/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GARY ONEAL | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/14/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GHULAM KHAN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KRISTIN HANSCOM | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NICHOLAS RUSSO | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/2/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TARA BROWNE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/14/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ZIAD BAROODY | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/14/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ALEXANDER BARTHOLOMEW | Individual | CORPORATE DIRECTOR | 5 | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ASHISH COWLAGI | Individual | CORPORATE DIRECTOR | 5 | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KEITH ROBERTSON | Individual | CORPORATE DIRECTOR | 5 | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROSS S GOODMAN | 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. |
| WILLIAM T MAYO | Individual | CORPORATE DIRECTOR | 5 | 7/1/2014 | 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. |
| ANGELA B BOVILL | 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. | 4/1/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHRISTINE TAPPAN | Individual | CORPORATE OFFICER | 5 | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GARY ONEAL | Individual | CORPORATE OFFICER | 5 | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KRISTIN HANSCOM | 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. | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NICHOLAS RUSSO | Individual | CORPORATE OFFICER | 5 | 7/1/2014 | 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. |
| ALEXANDER BARTHOLOMEW | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TARA BROWNE | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ANGELA B BOVILL | 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. | 7/1/2014 | 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. |
| ASCENTRIA CARE ALLIANCE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 3/8/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GHULAM KHAN | 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. | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ZIAD BAROODY | 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. | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: KRISTIN HANSCOM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KRISTIN HANSCOM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GHULAM KHAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GHULAM KHAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZIAD BAROODY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZIAD BAROODY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KRISTIN HANSCOM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KRISTIN HANSCOM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GHULAM KHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GHULAM KHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZIAD BAROODY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZIAD BAROODY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2025: DANA W RAMISH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DANA W RAMISH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: GARTH H GREIMANN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BARBARA J RUHE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MICHAEL J BALINSKAS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ALANA M GEARY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ALANA M GEARY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KAREN L GAYLIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KENNETH B BOHLIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: HANNAH P ANDERSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: LISA M COHEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: LISA M COHEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: NICK RUSSO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JAMES COYLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JAMES COYLE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JULIANA C LANGILLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JEFF KINNEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BRIAN BEDARD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BRIAN BEDARD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PATRICIA BAKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PATRICIA BAKER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KEVIN GENDRON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KEVIN GENDRON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JAMES HAZELWOOD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: TARA BROWNE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: TARA BROWNE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: CHRISTINE TAPPAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: CHRISTINE TAPPAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ANGELA B BOVILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: GARY ONEAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: GARY ONEAL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ASHISH COWLAGI appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ALEXANDER BARTHOLOMEW appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ALEXANDER BARTHOLOMEW appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: NICK RUSSO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ASCENTRIA CARE ALLIANCE INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KEITH ROBERTSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KRISTIN HANSCOM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KRISTIN HANSCOM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: GHULAM KHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: GHULAM KHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ZIAD BAROODY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ZIAD BAROODY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 September 2024: TIMOTHY R YEADON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- 1 July 2026: KRISTIN HANSCOM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KRISTIN HANSCOM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GHULAM KHAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GHULAM KHAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZIAD BAROODY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZIAD BAROODY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KRISTIN HANSCOM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KRISTIN HANSCOM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GHULAM KHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GHULAM KHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZIAD BAROODY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZIAD BAROODY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2025: DANA W RAMISH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DANA W RAMISH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: GARTH H GREIMANN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BARBARA J RUHE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MICHAEL J BALINSKAS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ALANA M GEARY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ALANA M GEARY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KAREN L GAYLIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KENNETH B BOHLIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: HANNAH P ANDERSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: LISA M COHEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: LISA M COHEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: NICK RUSSO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JAMES COYLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JAMES COYLE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JULIANA C LANGILLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JEFF KINNEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BRIAN BEDARD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BRIAN BEDARD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PATRICIA BAKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PATRICIA BAKER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KEVIN GENDRON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KEVIN GENDRON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JAMES HAZELWOOD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: TARA BROWNE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: TARA BROWNE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: CHRISTINE TAPPAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: CHRISTINE TAPPAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 17 June 2025 | 17 June 2025 | 15 | 8 |
| 2 | 29 August 2023 | 29 August 2023 | 13 | 12 |
| 3 | 20 July 2021 | 20 July 2021 | 7 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
35 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 27 May 2026 | 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 | 8 July 2026 |
| 27 May 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 8 July 2026 |
| 1 December 2025 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | 8 January 2026 |
| 1 December 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has date of correction | 8 January 2026 |
| 1 December 2025 | 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 | 8 January 2026 |
| 17 June 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 | No | Deficient, Provider has date of correction | 29 July 2025 |
| 17 June 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 29 July 2025 |
| 17 June 2025 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | 29 July 2025 |
| 17 June 2025 | Health | F 0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | E | No | Deficient, Provider has date of correction | 29 July 2025 |
| 17 June 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 | No | Deficient, Provider has date of correction | 29 July 2025 |
| 17 June 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 29 July 2025 |
| 17 June 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 29 July 2025 |
| 17 June 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 29 July 2025 |
| 17 June 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 29 July 2025 |
| 17 June 2025 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | No | Deficient, Provider has date of correction | 29 July 2025 |
| 5 February 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 18 March 2025 |
| 5 February 2025 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Yes | Past Non-Compliance | 28 January 2025 |
| 23 September 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 4 November 2024 |
| 23 September 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Past Non-Compliance | 20 September 2024 |
| 23 September 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 | Past Non-Compliance | 6 September 2024 |
| 29 August 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 10 October 2023 |
| 29 August 2023 | 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 | 10 October 2023 |
| 29 August 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | 10 October 2023 |
| 29 August 2023 | 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 | 10 October 2023 |
| 29 August 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 10 October 2023 |
| 29 August 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 10 October 2023 |
| 29 August 2023 | 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 | 10 October 2023 |
| 29 August 2023 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | B | No | Deficient, Provider has date of correction | 10 October 2023 |
| 20 July 2021 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 31 August 2021 |
| 20 July 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 31 August 2021 |
| 20 July 2021 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 31 August 2021 |
| 20 July 2021 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 31 August 2021 |
| 20 July 2021 | 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 | 31 August 2021 |
| 20 July 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 31 August 2021 |
| 20 July 2021 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 31 August 2021 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | LUTHERAN HOME OF SOUTHBURY INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Naugatuck Vly |
| Telephone Number | 2032649135 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 116.2 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| 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 Lutheran Home Of Southbury Inc: 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: KRISTIN HANSCOM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Lutheran Home Of Southbury Inc
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 075371.