Skilled nursing facility · CMS certification number 105682
PALM GARDEN OF JACKSONVILLE
JACKSONVILLE, Florida · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 November 2023 to 31 October 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 February 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,067,150 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,809,881 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,257,269 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,217,445 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$960,176 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $330,294 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$629,882 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$629,882 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,736 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 31,577 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,957 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 40,270 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 26 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 157 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 98 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 281 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 201.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1447307, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 October 2023
Cost report for 1 November 2022 to 31 October 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 January 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,861,274 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,664,880 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,196,394 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,393,122 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,196,728 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $206,757 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$989,971 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$989,971 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,454 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 260 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 231.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402245, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 October 2022
Cost report for 1 November 2021 to 31 October 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,144,263 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,160,517 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,983,746 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,515,713 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,531,967 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $161,152 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,370,815 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,370,815 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,102 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 169 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 264.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389938, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 October 2021
Cost report for 1 November 2020 to 31 October 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 June 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,503,575 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,230,811 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,272,764 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,682,642 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,409,878 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $750,920 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$658,958 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$658,958 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,378 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 339 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 395.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1350811, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 October 2020
Cost report for 1 November 2019 to 31 October 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 October 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,335,858 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,016,501 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,319,357 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,722,186 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$402,829 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $857,683 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $454,854 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $454,854 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,793 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 342 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 402.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335000, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 October 2019
Cost report for 1 November 2018 to 31 October 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,773,758 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,319,039 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,454,719 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,786,841 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$332,122 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $57,378 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$274,744 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$274,744 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,047 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 374 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 240.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277874, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 October 2018
Cost report for 1 November 2017 to 31 October 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,978,259 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,218,300 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,759,959 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,777,222 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$17,263 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,674 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,411 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,411 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,283 | 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 | 35.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 217.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260096, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 October 2017
Cost report for 1 November 2016 to 31 October 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 November 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,843,227 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,193,405 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,649,822 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,768,741 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$118,919 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,300 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$97,619 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$97,619 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,566 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 392 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 274.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214067, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 October 2016
Cost report for 1 November 2015 to 31 October 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,716,698 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $753,702 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,962,996 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,856,640 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $106,356 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,518 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $112,874 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $112,874 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,649 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 356 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 319.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181735, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 October 2015
Cost report for 1 November 2014 to 31 October 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,243,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,057,002 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,186,150 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,827,867 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $358,283 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,359 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $395,642 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $395,642 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,140 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 347 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 504.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143836, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 October 2014
Cost report for 1 November 2013 to 31 October 2014 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on 16 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,975,606 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,754,225 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,221,381 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,275,222 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$53,841 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,480 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$40,361 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$40,361 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,024 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 427 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 183.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189663, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 October 2013
Cost report for 1 January 2013 to 31 October 2013 — a reporting period of 303 days, on form CMS-2540-10, settled, processed by CMS on 29 September 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,965,566 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,055,831 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,909,735 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,090,800 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$181,065 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,303 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$156,762 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$156,762 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,778 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 327 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 279.99 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078532, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled with audit, processed by CMS on 29 May 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,614,229 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,010,328 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,603,901 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,763,092 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$159,191 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$26,420 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$185,611 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$185,611 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,862 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 355 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 221.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1061242, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,641,942 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$391,116 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,033,058 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,656,944 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $376,114 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,235 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $378,349 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $378,349 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,698 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 384 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 228.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1031474, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 March 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,795,440 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,466,278 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $329,162 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,519 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $332,681 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,808 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 370 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 254.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 110.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 427008, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 April 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,595,783 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,385,385 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $210,398 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,535 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $211,933 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,767 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 470 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 223.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 86.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397472, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 September 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,208,198 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,145,393 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $62,805 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,024 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $65,829 (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 | 41,931 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 472 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 282.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 88.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 356817, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 October 2007 to 31 December 2007 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 25 June 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,444,315 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,771,291 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$326,976 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$4,846 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$331,822 (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 | 10,652 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 206.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 88.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 347428, read from the public cost report file SNFFY2008.zip.
Fiscal year 2006, ended 30 September 2006
Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 November 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,119,337 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,938,219 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $181,118 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$14,323 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $166,795 (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 | 41,278 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 507 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 247 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 81.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295762, 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 16 February 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,121,515 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,872,201 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $249,314 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$104,941 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $144,373 (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 | 41,777 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 470 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 264.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 88.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 272715, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 30 September 2004
Cost report for 1 January 2004 to 30 September 2004 — a reporting period of 273 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 15 March 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,662,989 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,390,767 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $272,222 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $157,926 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $430,148 (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 | 31,152 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 281 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 863.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 110.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 245102, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 January 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,248,542 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,690,304 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$441,762 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $89,604 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$352,158 (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 | 41,668 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 396 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 609.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 105.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 204939, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 29 June 2002 to 31 December 2002 — a reporting period of 185 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 21 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,683,383 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,086,232 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$402,849 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $137,084 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$265,765 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,027 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 223 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 504.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 94.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195032, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 May 2001
Cost report for 1 June 2000 to 31 May 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 8 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,311,776 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,566,554 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$254,778 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,039 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$226,739 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,691 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 175 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 561.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 478.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 24682, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 31 May 2000
Cost report for 1 August 1999 to 31 May 2000 — a reporting period of 304 days, on form CMS-2540-96, settled, processed by CMS on 4 January 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,149,040 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,909,628 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $239,412 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,139 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $253,551 (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 | 34,572 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 102.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 5,915 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 467.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 24680, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 31 July 1999
Cost report for 1 January 1999 to 31 July 1999 — a reporting period of 211 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 18 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,212,954 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,556,194 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$343,240 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,948 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$319,292 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,993 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 809.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10108, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 11 April 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,475,907 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,905,853 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$429,946 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,438 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$411,508 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,749 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 495 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 260.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 82.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10105, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 31 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,607,425 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,906,025 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$298,600 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,155 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$281,445 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,018 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 527.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 248.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10102, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 15 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,715,861 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,708,120 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $7,741 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,715 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $28,456 (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 | 41,579 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 290 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 651.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 143.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10101, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| MCCARVER, PATSY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 50% | since 11/01/2013 |
| PALM GARDEN HEALTHCARE HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | since 11/01/2013 |
| JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001, | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 38% | since 12/23/2014 |
| JAMES O. MCCARVER RESIDUARY TRUST SHARE U/A DATED 06/22/2001 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 8% | since 12/23/2014 |
| PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 48% | since 11/01/2013 |
| PGJAX RE,LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 07/29/2024 |
| REGIONS BANK | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 11/01/2013 |
| DEMPS, KENYONN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/04/2025 |
| ELRAMADY, DALIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/20/2024 |
| JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001, | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2013 |
| PALM HEALTHCARE MANAGEMENT, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/04/2025 |
| PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2013 |
| PGJAX RE,LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/29/2024 |
| BOMBERGER, JEFFREY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2014 |
| CHALMERS, JAMES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2015 |
| GREENE, ROBERT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2015 |
| DEMPS, KENYONN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/14/2021 |
| ELRAMADY, DALIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/20/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PALM GARDEN OF JACKSONVILLE LLC (enrollment ID O20131209000065).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PALM GARDEN HEALTHCARE HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 11/1/2013 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PATSY MCCARVER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 11/1/2013 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001, | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 38 | 12/23/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES O. MCCARVER RESIDUARY TRUST SHARE U/A DATED 06/22/2001 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8 | 12/23/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48 | 11/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| PGJAX RE,LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 7/29/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| REGIONS BANK | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 11/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| DALIA ELRAMADY | 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. | 8/20/2024 | 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. |
| JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001, | 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. | 11/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| KENYONN K DEMPS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/4/2025 | 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. |
| PALM HEALTHCARE MANAGEMENT, 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. | 4/4/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E | 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. | 11/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| PGJAX RE,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. | 7/29/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES CHALMERS | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY D BOMBERGER | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2014 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROBERT GREENE | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2015 | 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. |
| DALIA ELRAMADY | 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. | 8/20/2024 | 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. |
| KENYONN K DEMPS | 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. | 6/14/2021 | 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. |
Changes in ownership
- 1 July 2026: JEFFREY D BOMBERGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY D BOMBERGER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 June 2025: PALM HEALTHCARE MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PALM GARDEN HEALTHCARE HOLDINGS, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PATSY MCCARVER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: REGIONS BANK no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: CAPITAL ONE N.A. no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: CAPITAL ONE N.A. no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: KENYONN K DEMPS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: JEFFREY D BOMBERGER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PALM HEALTHCARE MANAGEMENT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DALIA ELRAMADY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DALIA ELRAMADY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PATSY MCCARVER appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: KENYONN K DEMPS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: KENYONN K DEMPS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PGJAX RE,LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PGJAX RE,LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001, appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: JEFFREY D BOMBERGER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
Recent changes on this record
- 1 July 2026: JEFFREY D BOMBERGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY D BOMBERGER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 4 February 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 June 2025: PALM HEALTHCARE MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PALM GARDEN HEALTHCARE HOLDINGS, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PATSY MCCARVER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: REGIONS BANK no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: CAPITAL ONE N.A. no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: CAPITAL ONE N.A. no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: KENYONN K DEMPS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: JEFFREY D BOMBERGER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PALM HEALTHCARE MANAGEMENT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DALIA ELRAMADY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DALIA ELRAMADY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PATSY MCCARVER appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: KENYONN K DEMPS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: KENYONN K DEMPS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PGJAX RE,LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: PGJAX RE,LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001, appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: JEFFREY D BOMBERGER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 15 January 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 22 July 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 12 June 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 17 October 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 14 January 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 17 July 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 19 November 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 16 May 2018: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 29 December 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 30 September 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 29 September 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 29 May 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 3 June 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 30 March 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 20 April 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 17 September 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 25 June 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2008.zip
- 27 February 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 28 August 2025 | 28 August 2025 | 6 | 3 |
| 2 | 14 September 2023 | 14 September 2023 | 11 | 0 |
| 3 | 19 November 2021 | 19 November 2021 | 6 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 28 August 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | No | Deficient, Provider has date of correction | 3 October 2025 |
| 28 August 2025 | 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 | 3 October 2025 |
| 28 August 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 3 October 2025 |
| 28 August 2025 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | No | Deficient, Provider has date of correction | 3 October 2025 |
| 28 August 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | 3 October 2025 |
| 28 August 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 3 October 2025 |
| 4 September 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 | 4 October 2024 |
| 4 September 2024 | Health | F 0711 | Nursing and Physician Services Deficiencies | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Yes | Deficient, Provider has date of correction | 4 October 2024 |
| 14 September 2023 | 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 | 14 October 2023 |
| 14 September 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 14 October 2023 |
| 14 September 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 14 October 2023 |
| 14 September 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | 14 October 2023 |
| 14 September 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | 14 October 2023 |
| 14 September 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 14 October 2023 |
| 14 September 2023 | 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 | 14 October 2023 |
| 14 September 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 14 October 2023 |
| 14 September 2023 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | F | No | Deficient, Provider has date of correction | 14 October 2023 |
| 19 November 2021 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 21 December 2021 |
| 19 November 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | No | Deficient, Provider has date of correction | 21 December 2021 |
| 19 November 2021 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | J | No | Deficient, Provider has date of correction | 25 February 2022 |
| 19 November 2021 | Health | F 0742 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | No | Deficient, Provider has date of correction | 25 February 2022 |
| 19 November 2021 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 21 December 2021 |
| 19 November 2021 | 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 | 21 December 2021 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | PALM GARDEN OF JACKSONVILLE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1990-03-14 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Duval |
| Telephone Number | 9047336954 |
| Chain Name | PALM GARDEN HEALTH AND REHABILITATION |
| Chain ID | 394 |
| 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 | 120 |
| Average Number of Residents per Day | 111.3 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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