Skilled nursing facility · CMS certification number 105620

HIGHLANDS LAKE CENTER

LAKELAND, Florida · Medicare and Medicaid

Certified beds, as filed in Care Compare: 179

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 April 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$20,627,750	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$20,627,750	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,040,470	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,587,280	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$20,916	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,608,196	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,608,196 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	65,514	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	9,532	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	33,526	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	18,725	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	61,783	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	248	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	135	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	459	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	842	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	248.34	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	73.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1419965, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 October 2023 to 31 December 2023 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 17 January 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,114,572	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,114,572	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,697,011	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$417,561	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$199	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$417,760	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $417,760 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,489	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	223	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	307.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1402389, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$18,574,779	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,540,846	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,033,933	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,888,210	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$145,723	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,409,167	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,554,890	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,554,890 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	54,120	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	855	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	236.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	63.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1346065, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$12,285,806	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,124,959	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,160,847	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,851,476	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,690,629	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$247,275	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,443,354	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,443,354 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,088	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	376	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,823.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	95.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314590, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 September 2020

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 June 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$14,530,606	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,431,944	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,098,662	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,111,400	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,012,738	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$980,246	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,032,492	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,032,492 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	43,314	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	425	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	274.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	101.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1285370, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 September 2019

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$22,064,765	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,881,960	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,182,805	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,024,876	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$157,929	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$29,110	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$187,039	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $187,039 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,786	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	656	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	820.37	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	95.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254455, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 30 September 2018

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 April 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$22,562,147	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,194,819	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,367,328	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,250,406	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$116,922	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$26,922	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$143,844	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $143,844 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,931	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	782	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	543.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	80.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1223371, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 30 September 2017

Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$21,983,485	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,820,746	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,162,739	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,069,556	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$93,183	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$27,628	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$120,811	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $120,811 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	60,731	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,060	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	323.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	57.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188563, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 30 September 2016

Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 May 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$22,475,168	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,465,050	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$19,010,118	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,483,979	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$526,139	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$17,961	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$544,100	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $544,100 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	63,259	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	810	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	826.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	78.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1156686, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 30 September 2015

Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 March 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$21,503,341	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,895,150	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,608,191	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,602,805	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$5,386	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$20,958	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$26,344	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $26,344 (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%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	63,406	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	793	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	737.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	79.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1121361, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 30 September 2014

Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 March 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$21,023,544	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,715,011	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,308,533	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,918,838	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$389,695	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$15,942	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$405,637	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $405,637 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	63,249	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	733	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,298.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	86.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1087714, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 30 September 2013

Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 April 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$20,766,790	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,043,284	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,723,506	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,633,309	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$90,197	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,040	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$106,237	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $106,237 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,802	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	747	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	731.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	84.07	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1059002, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 September 2012

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$20,462,413	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,789,103	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,673,310	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,631,368	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$41,942	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,154	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$53,096	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $53,096 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,391	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	803	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	707.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	77.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1050201, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 September 2011

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$20,164,186	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$20,078,834	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$85,352	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,886	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $97,238 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	61,895	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	815	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.45	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	585.17	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	75.94	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434159, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended 30 September 2010

Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 May 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$18,578,498	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$18,537,591	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$40,907	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$17,640	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $58,547 (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.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	62,933	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	640	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.95	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	676.61	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	98.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 399211, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 September 2009

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 November 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$17,981,563	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$17,767,134	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$214,429	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$18,934	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $233,363 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	63,708	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	695	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.07	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	757.16	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	91.67	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 389164, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 30 September 2008

Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on 23 July 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$17,121,138	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$16,639,208	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$481,930	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,110	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $495,040 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	62,499	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	710	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.23	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	88.03	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 383220, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 30 September 2007

Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 April 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$16,230,315	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$15,856,795	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$373,520	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$25,938	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $399,458 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	62,064	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	529	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.52	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	117.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 307484, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 30 September 2006

Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 May 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$15,472,208	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$15,419,164	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$53,044	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$29,367	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $82,411 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	63,632	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	460	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.46	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	138.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 277054, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 30 September 2005

Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 April 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$14,987,639	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$14,840,183	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$147,456	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,800	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $164,256 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	64,634	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	653	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.32	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	98.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 247515, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 30 September 2004

Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 March 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$14,215,331	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$14,173,553	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$41,778	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,206	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $54,984 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	64,170	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	646	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.13	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	99.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 211259, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 30 April 2003

Cost report for 1 October 2002 to 30 April 2003 — a reporting period of 211 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 25 June 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$8,272,481	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,162,721	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$109,760	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,364	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $114,124 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,213	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	515	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.02	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	68.37	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 184386, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 30 September 2002

Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 August 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$12,710,133	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$13,046,739	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$336,606	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,592	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$324,014 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	53,208	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	437	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	70.48	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	121.76	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 157068, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 30 September 2001

Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 28 October 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$12,906,306	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$14,385,072	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$1,478,766	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$51,807	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,426,959 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	61,563	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	837	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.32	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	73.55	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 162101, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 30 September 2000

Cost report for 1 October 1999 to 30 September 2000 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 28 October 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$11,805,740	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,297,397	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$508,343	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$77,895	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $586,238 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	62,148	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	692	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	89.81	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 161725, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 30 September 1999

Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 28 October 2003.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$11,365,941	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,909,771	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$456,170	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$56,529	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$17,059	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $495,640 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	62,669	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	678	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	92.43	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 161645, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 30 September 1998

Cost report for 1 October 1997 to 30 September 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 4 March 2008.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$9,587,762	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,185,314	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$1,597,552	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,498,316	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,900,764 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	61,850	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	734	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.57	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	84.26	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 303532, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 30 September 1997

Cost report for 1 October 1996 to 30 September 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 20 March 2008.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$9,568,699	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,864,785	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$1,296,086	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,963,064	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,666,978 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	54,849	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	555	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	98.83	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 305131, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 30 September 1996

Cost report for 1 January 1996 to 30 September 1996 — a reporting period of 273 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 1 August 2000.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$6,936,307	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,687,519	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$751,212	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,645,368	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $894,156 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,093	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	634	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	72.7	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 52677, read from the public cost report file SNFFY1996.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
ASTON HEALTHCARE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/09/2025
REINOSO, JOSE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/09/2025
WILLIAMS, ELLIS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/18/2025
GABRIEL LIVING CENTER, LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 12/15/2023
HIGHLANDS LAKE HOLDCO LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 12/15/2023
FRIEDMAN, LEOPOLD	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 12/15/2023
GUTMAN, SAMUEL	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 01/01/2021
LCE PARTNERS LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2021
BURGESS, TAMMIE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 05/08/2025
BURGESS, TAMMIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/08/2025
PRASHAD, SHALIZA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/07/2023
REINOSO, JOSE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/10/2022
THACKER, TRICIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/04/2022
WILLIAMS, ELLIS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/02/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HIGHLANDS LAKE CENTER LLC (enrollment ID O20030408000002).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
LEOPOLD FRIEDMAN	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	80	12/15/2023	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.
SAMUEL GUTMAN	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	20	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.
ASTON HEALTHCARE LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/9/2025	Private equity company: No Real estate investment trust: No Holding company: No
ELLIS WILLIAMS	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.
JOSE G REINOSO	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.	7/9/2025	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.
GABRIEL LIVING CENTER, LLC	Organization	DIRECT OWNERSHIP INTEREST	50	12/15/2023	Private equity company: No Real estate investment trust: No Holding company: No
HIGHLANDS LAKE HOLDCO LLC	Organization	DIRECT OWNERSHIP INTEREST	50	12/15/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
LCE PARTNERS LLC	Organization	INDIRECT OWNERSHIP INTEREST	100	1/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
LEOPOLD FRIEDMAN	Individual	INDIRECT OWNERSHIP INTEREST	80	12/15/2023	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.
SAMUEL GUTMAN	Individual	INDIRECT OWNERSHIP INTEREST	20	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.
TAMMIE RENAE BURGESS	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.	5/8/2025	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.
ELLIS WILLIAMS	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.	1/2/2024	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.
JOSE G REINOSO	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.	6/10/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHALIZA PRASHAD	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.	11/7/2023	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.
TAMMIE RENAE BURGESS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/8/2025	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.
TRICIA THACKER	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.	4/4/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: LCE PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GABRIEL LIVING CENTER, LLC 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: SAMUEL KLEIN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SAMUEL KLEIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CYNTHIA AYALA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LEOPOLD FRIEDMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LEOPOLD FRIEDMAN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SAMUEL GUTMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LCE PARTNERS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ELLIS WILLIAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ELLIS WILLIAMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TAMMIE RENAE BURGESS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TAMMIE RENAE BURGESS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GABRIEL LIVING CENTER, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SHALIZA PRASHAD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRICIA THACKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOSE G REINOSO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOSE G REINOSO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HIGHLANDS LAKE HOLDCO LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ASTON HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Recent changes on this record

1 July 2026: LCE PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GABRIEL LIVING CENTER, LLC 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: SAMUEL KLEIN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SAMUEL KLEIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CYNTHIA AYALA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LEOPOLD FRIEDMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LEOPOLD FRIEDMAN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SAMUEL GUTMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LCE PARTNERS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ELLIS WILLIAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ELLIS WILLIAMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TAMMIE RENAE BURGESS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TAMMIE RENAE BURGESS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GABRIEL LIVING CENTER, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SHALIZA PRASHAD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRICIA THACKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOSE G REINOSO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOSE G REINOSO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HIGHLANDS LAKE HOLDCO LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ASTON HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
24 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
17 January 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2024.zip
31 May 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
20 April 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
22 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
4 June 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
23 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
26 April 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
3 May 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
28 March 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
25 March 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
29 April 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
5 November 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
11 February 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
12 May 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
2 November 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
23 July 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
24 April 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
20 March 2008: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	7 March 2024	7 March 2024	17	1
2	18 November 2021	18 November 2021	13	0
3	28 February 2020	28 February 2020	2	2

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

Deficiencies cited

32 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
5 November 2025	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	Yes	Deficient, Provider has date of correction	4 December 2025
5 November 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	Yes	Deficient, Provider has date of correction	4 December 2025
17 April 2025	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	E	Yes	Deficient, Provider has date of correction	12 May 2025
17 April 2025	Health	F 0773	Administration Deficiencies	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.	D	Yes	Deficient, Provider has date of correction	12 May 2025
6 August 2024	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	Yes	Deficient, Provider has date of correction	6 September 2024
6 August 2024	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D	Yes	Deficient, Provider has date of correction	6 September 2024
6 August 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.	D	Yes	Deficient, Provider has date of correction	6 September 2024
7 March 2024	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	E	Yes	Deficient, Provider has date of correction	7 April 2024
7 March 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	7 April 2024
7 March 2024	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	E	No	Deficient, Provider has date of correction	7 April 2024
7 March 2024	Health	F 0675	Quality of Life and Care Deficiencies	Honor each resident's preferences, choices, values and beliefs.	D	No	Deficient, Provider has date of correction	7 April 2024
7 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	Yes	Deficient, Provider has date of correction	7 April 2024
7 March 2024	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	7 April 2024
7 March 2024	Health	F 0694	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D	No	Deficient, Provider has date of correction	7 April 2024
7 March 2024	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	7 April 2024
7 March 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	7 April 2024
7 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	7 April 2024
7 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.	D	No	Deficient, Provider has date of correction	7 April 2024
7 March 2024	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	7 April 2024
7 March 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	7 April 2024
7 March 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	No	Deficient, Provider has date of correction	7 April 2024
7 March 2024	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	D	No	Deficient, Provider has date of correction	7 April 2024
18 November 2021	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	16 December 2021
18 November 2021	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	16 December 2021
18 November 2021	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	16 December 2021
18 November 2021	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	16 December 2021
18 November 2021	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	16 December 2021
18 November 2021	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	16 December 2021
18 November 2021	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	16 December 2021
18 November 2021	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	E	No	Deficient, Provider has date of correction	16 December 2021
28 February 2020	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	28 March 2020
28 February 2020	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	28 March 2020

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

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Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	HIGHLANDS LAKE CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services	1988-09-29
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Polk
Telephone Number	8636468699
Chain Name	ASTON HEALTH
Chain ID	800
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	179
Average Number of Residents per Day	167.3
Overall Rating	2
Health Inspection Rating	2
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	2
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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On 1 July 2026: LCE PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for HIGHLANDS LAKE CENTER

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