Skilled nursing facility · CMS certification number 105504
MARION AND BERNARD L SAMSON NURSING CENTER
SAINT PETERSBURG, Florida · Medicare and Medicaid
Certified beds, as filed in Care Compare: 180
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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 27 November 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,848,327 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,620,950 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,227,377 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,919,772 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$692,395 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $414,249 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$278,146 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$278,146 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 65,700 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 9,672 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 31,723 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 15,844 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 57,239 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 262 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 89 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 417 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 768 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 356.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1443123, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 7 May 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,983,098 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,782,240 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,200,858 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,977,056 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,776,198 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,735,467 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$40,731 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$40,731 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,712 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 852 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 413.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449546, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,956,543 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,895,159 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,061,384 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,075,284 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,013,900 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,293,833 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $279,933 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $279,933 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,533 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 742 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 441.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401604, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 April 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,711,013 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,426,366 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,284,647 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,557,387 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,272,740 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,284,598 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,011,858 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,011,858 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,115 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 558 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 470.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376926, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,642,546 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,020,823 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,621,723 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,362,151 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,740,428 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,273,069 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $532,641 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $532,641 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,483 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 360 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 556.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340312, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 June 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,327,375 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,417,436 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,909,939 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,286,254 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,376,315 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,562,433 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$813,882 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$813,882 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,385 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 437 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 521.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1285988, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,406,135 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,171,253 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,234,882 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,606,240 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,371,358 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $852,110 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$519,248 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$519,248 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,326 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 556 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 575.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278138, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 November 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,259,325 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,415,317 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,844,008 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,108,879 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$264,871 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$8,261,452 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$8,526,323 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$8,526,323 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,395 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 504 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 703.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1245195, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 February 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,540,384 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,039,655 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,500,729 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,663,506 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$162,777 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $281,769 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $118,992 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $118,992 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,447 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 458 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 642.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1219994, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 31 January 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,211,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,994,124 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,217,311 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,181,697 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $35,614 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $569,543 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $605,157 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $605,157 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,238 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 514 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 750.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183138, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,506,982 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,772,860 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,734,122 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,138,202 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $595,920 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $185,862 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $781,782 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $781,782 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 61,082 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 479 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 626.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141880, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 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 | $23,351,529 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,579,632 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,771,897 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,460,402 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$688,505 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $348,212 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$340,293 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$340,293 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,388 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 442 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 623.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104699, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 September 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,985,850 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,784,550 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,201,300 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,411,745 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $789,555 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $140,850 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $930,405 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $930,405 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,073 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 363 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 630.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078526, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,709,778 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,323,391 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,386,387 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,040,835 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$654,448 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $167,845 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$486,603 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$486,603 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,908 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 239 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,162.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 238.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044626, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 August 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,176,301 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,266,593 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $909,708 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $132,955 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,042,663 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,147 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 217 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,309.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 281.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431769, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,008,400 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,456,647 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $551,753 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $121,385 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $673,138 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,888 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 306 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 639.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 198.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415253, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,605,627 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,612,307 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,680 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,188,221 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,181,541 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,109 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 234 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 823.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 265.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385755, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 August 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,255,923 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,960,883 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $295,040 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $695,963 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $867,900 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $123,103 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,159 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 270 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 592.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 230.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355966, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 December 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,474,990 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,618,377 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$143,387 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $847,615 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $906,385 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$202,157 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,103 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 371 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 622.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 167.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 299354, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 November 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,047,309 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,605,661 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$558,352 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $824,134 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $265,782 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,330 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 569 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 272.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295844, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 November 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,598,587 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,923,620 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$325,033 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $541,233 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $216,200 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,249 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 379 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 411.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 267290, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 6 December 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,116,067 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,299,445 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,183,378 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $743,004 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$440,374 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,468 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 900.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 398.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 238176, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 30 June 2003
Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 August 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,803,063 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,665,794 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$862,731 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $378,942 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$483,789 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,511 | 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 | 55.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 947.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 363.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 189196, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 30 June 2002
Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,049,612 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,534,351 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$484,739 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $686,990 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $202,251 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,531 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 141 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 752.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 443.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160296, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 30 June 2001
Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,888,325 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,045,446 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,157,121 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $993,448 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$163,673 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,217 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 260 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 399.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 235.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 144057, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 30 June 2000
Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,013,129 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,115,018 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,101,889 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,111,881 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $9,992 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,570 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 852.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 289.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 126343, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 30 June 1999
Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,969,858 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,078,672 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,108,814 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,208,412 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $99,598 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,339 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,096.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 333.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 9508, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 30 June 1998
Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 September 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,790,929 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,453,655 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$662,726 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,080,525 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $417,799 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,815 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 116.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,448.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 685.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 9506, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 30 June 1997
Cost report for 1 July 1996 to 30 June 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 | $5,416,477 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,974,707 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$558,230 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $622,149 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $552 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $63,367 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,347 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,099.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 295.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 9505, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 30 June 1996
Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 June 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,378,079 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,715,284 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$337,205 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $523,304 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,552 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $166,547 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,884 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,428.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 549.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 9504, 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 |
|---|---|---|---|---|
| LEVINE, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/18/2025 |
| PERRYMAN, DONNA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| PERRYMAN, DONNA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/18/2013 |
| PERRYMAN, DONNA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/1985 |
| WEISBERG, ROBERT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/1985 |
| LEVINE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/1995 |
| PERRYMAN, DONNA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2024 |
| MENORAH MANOR INC | TRUSTEE OF THE SNF | Organization | NOT APPLICABLE | since 07/01/1985 |
| WEISBERG, ROBERT | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2010 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MENORAH MANOR INC (enrollment ID O20080522000408).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DAVID A LEVINE | 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. | 3/18/2025 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/17/2025 | 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. |
| DONNA PERRYMAN | Individual | CORPORATE DIRECTOR | 50 | 10/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DONNA PERRYMAN | Individual | CORPORATE OFFICER | 50 | 12/18/2013 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DONNA PERRYMAN | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/1985 | 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. |
| ROBERT WEISBERG | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/1985 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAVID A LEVINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/1995 | 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. |
| DONNA PERRYMAN | 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. | 10/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MENORAH MANOR INC | Organization | TRUSTEE 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. | 7/1/1985 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROBERT WEISBERG | Individual | TRUSTEE OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 May 2025: ROBERT GOLDSTEIN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ROBERT WEISBERG no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DONNA PERRYMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DAVID A LEVINE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DAVID A LEVINE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ROBERT WEISBERG appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ROBERT WEISBERG appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MENORAH MANOR INC appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DONNA PERRYMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DONNA PERRYMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DONNA PERRYMAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
Recent changes on this record
- 7 May 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 27 November 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 1 May 2025: ROBERT GOLDSTEIN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ROBERT WEISBERG no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DONNA PERRYMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DAVID A LEVINE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DAVID A LEVINE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ROBERT WEISBERG appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ROBERT WEISBERG appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MENORAH MANOR INC appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DONNA PERRYMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DONNA PERRYMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DONNA PERRYMAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 27 December 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 29 April 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 17 January 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 11 June 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 15 January 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 4 November 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 20 February 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 31 January 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 18 August 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
- 29 September 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 1 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 17 August 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 11 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 13 August 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 31 August 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 21 December 2007: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 6 November 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 29 November 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 6 December 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- 4 August 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- 22 September 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- 7 May 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- 13 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- 26 September 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- 19 September 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 21 March 2024 | 21 March 2024 | 13 | 2 |
| 2 | 16 December 2021 | 16 December 2021 | 1 | 2 |
| 3 | 9 October 2020 | 9 October 2020 | 2 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
16 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 21 March 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 21 April 2024 |
| 21 March 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 21 April 2024 |
| 21 March 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | F | No | Deficient, Provider has date of correction | 21 April 2024 |
| 21 March 2024 | 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 | Yes | Deficient, Provider has date of correction | 21 April 2024 |
| 21 March 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 21 April 2024 |
| 21 March 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 21 April 2024 |
| 21 March 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | Yes | Deficient, Provider has date of correction | 21 April 2024 |
| 21 March 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | F | No | Deficient, Provider has date of correction | 21 April 2024 |
| 21 March 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 21 April 2024 |
| 21 March 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 21 April 2024 |
| 21 March 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 21 April 2024 |
| 21 March 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 21 April 2024 |
| 21 March 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | F | No | Deficient, Provider has date of correction | 21 April 2024 |
| 16 December 2021 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 14 January 2022 |
| 9 October 2020 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 9 November 2020 |
| 9 October 2020 | 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 | 9 November 2020 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Other |
| Legal Business Name | MENORAH MANOR INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1985-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Pinellas |
| Telephone Number | 7273452775 |
| 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 | 180 |
| Average Number of Residents per Day | 167.7 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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One email a day naming what moved on MARION AND BERNARD L SAMSON NURSING 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 7 May 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for MARION AND BERNARD L SAMSON NURSING 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 105504.