Skilled nursing facility · CMS certification number 105422
PINELLAS PARK FL OPCO, LLC
PINELLAS PARK, Florida · 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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,303,024 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,307,626 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,995,398 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,024,244 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,028,846 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$211,509 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,240,355 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,240,355 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,474 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 27,173 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,784 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 37,431 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 51 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 141 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 256 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 448 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 192.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1427129, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,561,296 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,038,290 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,523,006 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,595,430 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,072,424 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$271,525 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,343,949 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,343,949 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,612 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 393 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 166.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405616, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 May 2022 to 31 December 2022 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,242,439 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,021,600 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,220,839 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,518,766 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,297,927 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,486 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,270,441 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,270,441 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,517 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 387 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 105.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362639, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,433,811 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,763,614 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,670,197 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,813,497 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,143,300 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,108,821 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$34,479 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$34,479 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,604 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 387 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 187.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334170, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,692,775 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,832,879 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,859,896 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,571,884 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$711,988 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,796,527 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,084,539 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,084,539 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,091 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 196.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313878, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 August 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,593,185 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $15,325,967 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,267,218 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,303,471 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$36,253 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$3,105 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$39,358 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$39,358 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,382 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 382 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 145.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1264807, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,383,406 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $13,547,970 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,835,436 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,254,715 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$419,279 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,609 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$412,670 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$412,670 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,578 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 453 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 159.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238736, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,762,144 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,097,903 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,664,241 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,510,775 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,846,534 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,723 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,832,811 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,832,811 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,517 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 308 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 377.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1201675, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,601,908 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,211,954 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,389,954 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,416,252 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,026,298 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,516 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$992,782 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$992,782 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,860 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 371 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 277.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169138, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,537,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,824,275 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,713,599 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,474,552 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$760,953 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,967 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$758,986 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$758,986 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,449 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 452 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 266.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139473, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,590,474 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,815,749 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,774,725 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,046,128 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,271,403 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $259 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,271,144 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,271,144 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,472 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 462 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 384.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104975, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,030,148 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,651,469 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,378,679 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,611,989 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$233,310 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,016 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$173,294 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$173,294 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,444 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 449 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 456.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074469, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,664,923 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,130,998 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,533,925 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,116,892 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $417,033 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,000 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $448,033 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $448,037 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,149 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 460 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 365.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073496, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,492,085 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,691,226 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,800,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,055,259 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $745,600 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $348 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $745,948 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $745,948 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,386 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 445 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,143.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1037831, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 November 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,382,033 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,619,960 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $762,073 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,795 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $763,868 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,614 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 515 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 568.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420279, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 19 May 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,712,655 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,106,285 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $606,370 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $106 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $606,476 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,553 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 412 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 501.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 98.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 399795, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 25 November 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,981,236 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,522,321 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $458,915 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,401 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $460,316 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,524 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 411 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 566.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 98.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359563, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 November 2007 to 31 December 2007 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 22 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,397,821 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,375,819 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $22,002 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $22,100 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 6,338 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 600.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324760, read from the public cost report file SNFFY2008.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 3 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,744,894 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,294,755 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $450,139 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,030 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $451,169 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,019 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 479 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 401.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 277930, 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 19 April 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,370,989 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,624,580 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$253,591 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,764 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$251,827 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,535 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 419 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 413.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 87.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247513, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 30 September 2004
Cost report for 8 March 2004 to 30 September 2004 — a reporting period of 206 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 28 February 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,543,350 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,599,434 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$56,084 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,815 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$29,269 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,576 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 363 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 311.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 59.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 209135, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,376,504 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,756,222 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$379,718 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,313 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$374,405 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,196 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 759 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 537.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 54.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 217598, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,170,389 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,004,528 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$834,139 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,198 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$828,941 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,575 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 759 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.01 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 544.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 56.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169735, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,943,597 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,326,474 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$382,877 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,138 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$376,739 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,816 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 745 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 59.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 56.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141942, 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 11 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,920,714 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,794,208 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$873,494 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,858 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$866,636 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,210 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 651 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 75.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 64.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 115594, 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 10 August 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,487,974 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,063,187 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $424,787 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,617 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $434,404 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,304 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 791 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,021.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 53.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 24449, 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 15 June 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,309,593 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,775,931 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$466,338 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,715 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$458,623 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,764 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 867 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 647.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 48.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 24447, 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 22 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,303,371 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,264,100 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $39,271 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $158,631 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $197,902 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,547 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 769 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 314.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 54.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 24445, 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, reopened, processed by CMS on 21 April 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,057,345 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,247,827 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$190,482 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $290,813 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $100,331 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,852 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 582 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 380.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 24443, 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 |
|---|---|---|---|---|
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Ownership Data Not Available | CMS paused 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. | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PINELLAS PARK FL OPCO LLC (enrollment ID O20220503002627).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DAVID HERSKOWITZ | 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. | 5/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LORE S. VINCENT | 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. | 1/30/2025 | 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. |
| PRIYADARSHINI G RAO | 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. | 4/1/2024 | 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. |
| TAMPA 5 FL HOLDCO LLC | Organization | DIRECT OWNERSHIP INTEREST | 100 | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID HERSKOWITZ | Individual | INDIRECT OWNERSHIP INTEREST | 20 | 5/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAVID RUBENSTEIN | Individual | INDIRECT OWNERSHIP INTEREST | 2 | 5/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ISAAC MOSKOWITZ | Individual | INDIRECT OWNERSHIP INTEREST | 39 | 5/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY AREM | Individual | INDIRECT OWNERSHIP INTEREST | 39 | 5/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAVID HERSKOWITZ | 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. | 5/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 June 2025: TAMPA 5 FL HOLDCO LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ISAAC MOSKOWITZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DAVID A MCMILLON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DAVID RUBENSTEIN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TAMPA 5 FL HOLDCO LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PRIYADARSHINI G RAO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: LORE S. VINCENT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: JEFFREY AREM appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ISAAC MOSKOWITZ appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DAVID HERSKOWITZ appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DAVID HERSKOWITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DAVID HERSKOWITZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 15 March 2023: SURESH PAI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: 42 COLLINS AVENUE CARE INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: MICHAEL BLEICH no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: TAMPA 5 FL HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: ISAAC MOSKOWITZ appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DAVID A MCMILLON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- 12 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 June 2025: TAMPA 5 FL HOLDCO LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ISAAC MOSKOWITZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DAVID A MCMILLON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DAVID RUBENSTEIN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TAMPA 5 FL HOLDCO LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PRIYADARSHINI G RAO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: LORE S. VINCENT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: JEFFREY AREM appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ISAAC MOSKOWITZ appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DAVID HERSKOWITZ appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DAVID HERSKOWITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DAVID HERSKOWITZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 21 March 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 21 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 15 June 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 15 March 2023: SURESH PAI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: 42 COLLINS AVENUE CARE INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: MICHAEL BLEICH no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: TAMPA 5 FL HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: ISAAC MOSKOWITZ appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DAVID A MCMILLON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 27 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 21 April 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 25 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 30 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 20 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 17 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 3 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 25 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 31 July 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 24 July 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 24 June 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 15 November 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 19 May 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 25 November 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 22 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2008.zip
- 11 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2008.zip
- 12 May 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 3 May 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 4 June 2026 | 4 June 2026 | 13 | 5 |
| 2 | 14 December 2023 | 14 December 2023 | 8 | 7 |
| 3 | 30 September 2021 | 30 September 2021 | 5 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
26 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 4 June 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 4 July 2026 |
| 4 June 2026 | 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 | 4 July 2026 |
| 4 June 2026 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | 4 July 2026 |
| 4 June 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. | E | No | Deficient, Provider has date of correction | 4 July 2026 |
| 4 June 2026 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 4 July 2026 |
| 4 June 2026 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 4 July 2026 |
| 4 June 2026 | 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. | F | No | Deficient, Provider has date of correction | 4 July 2026 |
| 4 June 2026 | 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 | 4 July 2026 |
| 4 June 2026 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | No | Deficient, Provider has date of correction | 4 July 2026 |
| 5 March 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | 5 April 2026 |
| 5 March 2026 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Yes | Deficient, Provider has date of correction | 5 April 2026 |
| 5 March 2026 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | J | Yes | Deficient, Provider has date of correction | 5 April 2026 |
| 5 March 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | 5 April 2026 |
| 24 April 2025 | 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 | Yes | Deficient, Provider has date of correction | 24 May 2025 |
| 24 April 2025 | 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. | F | Yes | Deficient, Provider has date of correction | 24 May 2025 |
| 14 December 2023 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | No | Deficient, Provider has date of correction | 14 January 2024 |
| 14 December 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 14 January 2024 |
| 14 December 2023 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | 14 January 2024 |
| 14 December 2023 | 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 | 14 January 2024 |
| 14 December 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 14 January 2024 |
| 14 December 2023 | 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 | 14 January 2024 |
| 29 September 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | 25 October 2023 |
| 29 September 2023 | 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. | J | Yes | Deficient, Provider has date of correction | 25 October 2023 |
| 30 September 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 30 October 2021 |
| 30 September 2021 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 30 October 2021 |
| 30 September 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. | D | No | Deficient, Provider has date of correction | 30 October 2021 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 5 March 2026 | Fine | $26,685 | 142264 | ||
| 29 September 2023 | Fine | $19,734 | 30625 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | Legal Business Name Not Available |
| Date First Approved to Provide Medicare and Medicaid Services | 1982-09-22 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Pinellas |
| Telephone Number | 7275464661 |
| 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 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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