Skilled nursing facility · CMS certification number 105449
MIAMI SHORES NURSING AND REHAB CENTER
MIAMI, Florida · Medicare and Medicaid
Certified beds, as filed in Care Compare: 99
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 September 2024 to 31 August 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 24 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,172,530 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,933,034 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,239,496 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,349,282 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$109,786 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $71,869 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$37,917 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$37,917 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 36,135 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 7,886 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,481 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,243 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 33,610 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 155 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 102 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 69 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 326 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 220.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445605, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 31 August 2024
Cost report for 1 September 2023 to 31 August 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 November 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,153,533 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,250,252 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,903,281 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,294,229 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $609,052 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $142,483 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $751,535 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $751,535 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,897 | 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 | 65.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 319.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442266, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 31 August 2023
Cost report for 1 September 2022 to 31 August 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,850,254 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,588,456 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,261,798 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,197,945 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $63,853 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $77,897 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $141,750 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $141,750 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,468 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 290 | 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 | 270.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398472, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 31 August 2022
Cost report for 1 September 2021 to 31 August 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 April 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,464,663 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,529,270 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,935,393 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,950,512 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,119 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $184,072 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $168,953 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $168,953 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,755 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 259 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 312.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376762, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 31 August 2021
Cost report for 1 September 2020 to 31 August 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,619,185 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,992,294 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,626,891 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,173,146 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,546,255 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $527,588 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,018,667 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,018,667 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,220 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 483.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1346179, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 31 August 2020
Cost report for 1 September 2019 to 31 August 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 August 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,820,244 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $141,915 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,678,329 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,918,783 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $759,546 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $912,274 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,671,820 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,671,820 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,323 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 256.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329598, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 31 August 2019
Cost report for 1 September 2018 to 31 August 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 March 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,573,285 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,585,593 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,987,692 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,836,524 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $151,168 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $124,866 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $276,034 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $276,034 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,485 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 535.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 202.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280922, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 31 August 2018
Cost report for 1 September 2017 to 31 August 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,098,132 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,304,546 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,793,586 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,663,950 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $129,636 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $129,623 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $259,259 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $259,259 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,542 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 434.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250644, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 August 2017
Cost report for 1 September 2016 to 31 August 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,858,118 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,121,554 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,736,564 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,346,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $390,283 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $57,187 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $447,470 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $447,470 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,165 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 265 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 327.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1216997, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 August 2016
Cost report for 1 September 2015 to 31 August 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 November 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,792,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,656,636 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,136,219 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,967,541 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $168,678 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $106,794 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $275,472 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $275,472 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,172 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 236 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 487.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179120, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 August 2015
Cost report for 1 September 2014 to 31 August 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 1 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,965,159 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,813,650 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,151,509 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,162,421 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $989,088 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$3,066 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $986,022 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $986,022 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,983 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 196 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 168.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1147345, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 31 August 2014
Cost report for 1 September 2013 to 31 August 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 | $13,039,095 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,302,968 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,736,127 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,979,760 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $756,367 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$3,666,203 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,909,836 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,909,836 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,611 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 212 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 163.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104697, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 August 2013
Cost report for 1 September 2012 to 31 August 2013 — a reporting period of 364 days, on form CMS-2540-10, settled with audit, processed by CMS on 16 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,095,394 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,737,072 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,358,322 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,951,297 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $407,025 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,264 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $409,289 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $409,289 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,087 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 137.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084576, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 August 2012
Cost report for 1 September 2011 to 31 August 2012 — a reporting period of 365 days, on form CMS-2540-10, settled with audit, processed by CMS on 28 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,739,201 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,874,408 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,864,793 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,813,950 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,050,843 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$135,499 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $915,344 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $915,344 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,277 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 191 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 184.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1040676, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 August 2011
Cost report for 1 September 2010 to 31 August 2011 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 18 June 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,138,367 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,174,995 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,963,372 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,321 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,013,693 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,631 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 205 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 975.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 164.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430530, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 31 August 2010
Cost report for 1 September 2009 to 31 August 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 16 March 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,947,310 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,086,325 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,860,985 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$73,289 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,787,696 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,606 | 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 | 49.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,468.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 155.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 426292, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 August 2009
Cost report for 1 September 2008 to 31 August 2009 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 20 April 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,324,453 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,712,309 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,612,144 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$279,061 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,333,083 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,735 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,093.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 183.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397454, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 31 August 2008
Cost report for 1 September 2007 to 31 August 2008 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on 27 May 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,171,933 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,358,352 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $813,581 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,519 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $821,100 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,982 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 197 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 984.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 167.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 371100, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 31 August 2007
Cost report for 1 September 2006 to 31 August 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,028,498 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,526,212 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $502,286 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,916 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $512,202 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,515 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 204 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 589.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 159.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303352, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 31 August 2006
Cost report for 1 September 2005 to 31 August 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 January 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,129,382 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,697,930 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $431,452 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $120,087 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $551,539 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,886 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 208 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 643.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301479, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 31 August 2005
Cost report for 1 September 2004 to 31 August 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 January 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,621,158 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,323,613 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $297,545 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $283 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $297,828 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,238 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 242 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 277.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270748, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 August 2004
Cost report for 1 September 2003 to 31 August 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 December 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,568,342 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,791,451 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$223,109 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$6,024 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$229,133 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,972 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 766 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 37.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 39.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 239471, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 31 August 2003
Cost report for 1 September 2002 to 31 August 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 December 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,040,602 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,423,855 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$383,253 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$23,893 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$407,146 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,846 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 169 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 218.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 203019, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 31 August 2002
Cost report for 1 September 2001 to 31 August 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 January 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,492,839 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,185,737 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $307,102 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,478 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $308,580 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,995 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 291.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 202.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 167313, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 31 August 2001
Cost report for 1 September 2000 to 31 August 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 July 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,792,218 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,777,911 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $14,307 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,911 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $24,218 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,300 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 185 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 282.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 169.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 154936, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 31 August 2000
Cost report for 1 September 1999 to 31 August 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 | $3,858,554 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,126,151 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$267,597 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $134,305 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$133,292 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,556 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 435.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 207.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 122451, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 31 August 1999
Cost report for 15 February 1999 to 31 August 1999 — a reporting period of 197 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 18 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,070,184 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,175,403 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$105,219 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$105,219 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,896 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 134.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 110.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 9262, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 August 1998
Cost report for 1 September 1997 to 31 August 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,598,064 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,408,845 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $189,219 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $315 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $189,534 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,548 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 387 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 106.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 9258, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 31 August 1997
Cost report for 1 September 1996 to 31 August 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 September 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,004,515 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,667,980 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$663,465 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,330 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$660,135 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,972 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 180 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 186.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 155.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 9256, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 31 August 1996
Cost report for 1 September 1995 to 31 August 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 August 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,188,667 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,037,727 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$849,060 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $77,593 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$771,467 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,532 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 372.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 331.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 9254, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| HERNANDO, GLADYS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 10% | since 01/01/2025 |
| CARRASCO, MARCO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/13/2025 |
| MOGHADDAM, HAMIDREZA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/13/2025 |
| ANTONACCI, NICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/04/1998 |
| HERNANDO, GLADYS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| HERNANDO, JORGE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/04/1998 |
| ANTONACCI, NICK | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/04/1998 |
| HERNANDO, JORGE | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/04/1998 |
| HERNANDO, JORGE | GENERAL PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/04/1998 |
| ANTONACCI, NICK | LIMITED PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/01/2021 |
| HERNANDO, JORGE | LIMITED PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/01/2021 |
| CARRASCO, MARCO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of DOS OF NORTH SHORE LTD (enrollment ID O20080207000423).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| GLADYS K HERNANDO | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10 | 1/1/2025 | 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. |
| JORGE HERNANDO | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31 | 8/4/1998 | 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. |
| JORGE HERNANDO | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 27 | 8/4/1998 | 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. |
| NICK ANTONACCI | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19 | 8/4/1998 | 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. |
| HAMIDREZA MOGHADDAM | 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. | 2/13/2025 | 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. |
| MARCO A CARRASCO | 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. | 2/13/2025 | 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. |
| GLADYS K HERNANDO | Individual | CORPORATE DIRECTOR | 10 | 1/1/2025 | 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. |
| JORGE HERNANDO | Individual | CORPORATE DIRECTOR | 31 | 8/4/1998 | 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. |
| JORGE HERNANDO | Individual | CORPORATE DIRECTOR | 27 | 8/4/1998 | 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. |
| NICK ANTONACCI | Individual | CORPORATE DIRECTOR | 19 | 8/4/1998 | 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. |
| JORGE HERNANDO | Individual | DIRECT OWNERSHIP INTEREST | 31 | 8/4/1998 | 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. |
| JORGE HERNANDO | Individual | DIRECT OWNERSHIP INTEREST | 27 | 8/4/1998 | 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. |
| NICK ANTONACCI | Individual | DIRECT OWNERSHIP INTEREST | 19 | 8/4/1998 | 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. |
| JORGE HERNANDO | Individual | GENERAL PARTNERSHIP INTEREST | 31 | 8/4/1998 | 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. |
| JORGE HERNANDO | Individual | GENERAL PARTNERSHIP INTEREST | 27 | 8/4/1998 | 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. |
| JORGE HERNANDO | Individual | LIMITED PARTNERSHIP INTEREST | 31 | 1/1/2021 | 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. |
| JORGE HERNANDO | Individual | LIMITED PARTNERSHIP INTEREST | 27 | 1/1/2021 | 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. |
| NICK ANTONACCI | Individual | LIMITED PARTNERSHIP INTEREST | 19 | 1/1/2021 | 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. |
| MARCO A CARRASCO | 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. | 1/1/2023 | 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: JORGE HERNANDO no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2025: NICK ANTONACCI no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: NICK ANTONACCI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: JORGE HERNANDO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MARCO A CARRASCO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MARCO A CARRASCO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: GLADYS K HERNANDO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: GLADYS K HERNANDO appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: HAMIDREZA MOGHADDAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: NICK ANTONACCI appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: NICK ANTONACCI appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: JORGE HERNANDO appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: JORGE HERNANDO appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
Recent changes on this record
- 1 July 2026: JORGE HERNANDO no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JORGE HERNANDO appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 24 December 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 12 November 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 1 April 2025: NICK ANTONACCI no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: NICK ANTONACCI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: JORGE HERNANDO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MARCO A CARRASCO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MARCO A CARRASCO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: GLADYS K HERNANDO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: GLADYS K HERNANDO appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: HAMIDREZA MOGHADDAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: NICK ANTONACCI appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: NICK ANTONACCI appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: JORGE HERNANDO appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: JORGE HERNANDO appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 31 October 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 25 April 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 21 April 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 12 August 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 5 March 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 7 February 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 26 December 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 30 November 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 1 December 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 25 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 16 January 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 28 June 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 18 June 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 16 March 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 20 April 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 27 May 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 26 March 2025 | 26 March 2025 | 10 | 4 |
| 2 | 19 October 2023 | 19 October 2023 | 7 | 5 |
| 3 | 4 November 2022 | 4 November 2022 | 6 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 24 June 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. | D | Yes | Deficient, Provider has date of correction | 24 July 2025 |
| 24 June 2025 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Yes | Deficient, Provider has date of correction | 24 July 2025 |
| 24 June 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | 24 July 2025 |
| 26 March 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 26 April 2025 |
| 26 March 2025 | 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 | 26 April 2025 |
| 26 March 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 26 April 2025 |
| 26 March 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 | 26 April 2025 |
| 26 March 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 26 April 2025 |
| 26 March 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. | D | No | Deficient, Provider has date of correction | 26 April 2025 |
| 26 March 2025 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | 26 April 2025 |
| 26 March 2025 | 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 | No | Deficient, Provider has date of correction | 26 April 2025 |
| 26 March 2025 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | No | Deficient, Provider has date of correction | 26 April 2025 |
| 26 March 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 26 April 2025 |
| 19 October 2023 | 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 | 19 November 2023 |
| 19 October 2023 | 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 | No | Deficient, Provider has date of correction | 19 November 2023 |
| 19 October 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | 19 November 2023 |
| 19 October 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 19 November 2023 |
| 4 November 2022 | 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 December 2022 |
| 4 November 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 4 December 2022 |
| 4 November 2022 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 4 December 2022 |
| 4 November 2022 | 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 | 4 December 2022 |
| 4 November 2022 | 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 December 2022 |
| 4 November 2022 | 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 | 4 December 2022 |
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 | For profit - Limited Liability company |
| Legal Business Name | DOS OF NORTH SHORE LTD |
| Date First Approved to Provide Medicare and Medicaid Services | 1984-03-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Miami-Dade |
| Telephone Number | 3057598711 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 99 |
| Average Number of Residents per Day | 89.1 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on MIAMI SHORES NURSING AND REHAB CENTER: 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: JORGE HERNANDO no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for MIAMI SHORES NURSING AND REHAB CENTER
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 Florida 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 105449.