Skilled nursing facility · CMS certification number 105705
LAKE PORT SQUARE HEALTH CENTER
LEESBURG, Florida · Medicare and Medicaid
Certified beds, as filed in Care Compare: 80
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 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,475,944 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,568,747 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,907,197 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $32,414,837 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$20,507,640 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,116,582 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,391,058 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,391,058 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 42,090 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,915 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,520 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 23,115 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 35,550 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 168 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 352 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 531 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 501.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436468, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,209,942 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,826,257 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,383,685 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $32,238,051 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$20,854,366 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,347,329 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,507,037 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,507,036 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,784 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 637 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 190.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438658, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,758,620 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,355,770 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,402,850 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $36,338,215 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,935,365 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,799,467 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$7,135,898 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$7,135,898 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,910 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 709 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 271.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389074, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,087,364 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,076,900 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,010,464 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,973,631 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,963,167 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,965,348 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$7,997,819 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$7,997,819 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,795 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 645 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 230.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363676, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,004,988 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,946,746 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,058,242 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $37,818,299 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$17,760,057 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,000,337 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$11,759,720 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$11,759,720 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,337 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 580 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 277.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301593, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 July 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,361,140 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$5,086,384 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,447,524 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $32,856,427 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,408,903 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,058,763 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,350,140 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,350,140 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,873 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 912 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 55.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1289259, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,012,992 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$5,187,356 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,200,348 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,374,923 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,174,575 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,649,751 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,524,824 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,524,824 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,280 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 835 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 60.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275426, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,719,393 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$4,944,157 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,663,550 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,384,614 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,721,064 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,695,835 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,025,229 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,025,229 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,031 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 660 | 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, all patients, in days | 74.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244250, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 November 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,308,319 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$4,303,077 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,611,396 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,837,448 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,226,052 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,633,199 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,592,853 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,592,853 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,638 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 639 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 80.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179126, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 June 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,554,868 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,677,827 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,877,041 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,315,538 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,438,497 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,703,772 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,734,725 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,734,725 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,703 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 839 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 145.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1168029, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 29 August 2014 to 31 December 2014 — a reporting period of 124 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,361,817 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,841,842 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,519,975 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,458,769 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$938,794 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $185,540 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$753,254 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$753,254 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,948 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 279 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 46.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144574, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 February 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,488,640 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,738,004 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,750,636 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,609,254 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,141,382 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,457 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,173,839 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,173,839 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,576 | 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 | 39.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 594.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085976, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,198,962 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,775,025 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,423,937 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,486,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $937,656 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $53,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $990,691 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $990,691 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,162 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 716 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 785.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1050144, 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 19 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,332,440 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,517,918 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,814,522 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,992,754 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,821,768 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,379 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,871,147 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,871,147 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,337 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 728 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 459.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1036469, 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 18 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,454,050 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,639,976 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $814,074 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $33,928 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $848,002 (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 | 155 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,382 | 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 | 32.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 420 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 74.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422959, 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 28 January 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,550,989 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,333,413 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,782,424 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $82,045 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,700,379 (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 | 155 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,918 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 665 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 664.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 76.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393347, 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 16 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,517,365 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,396,994 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$879,629 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $157,740 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$721,889 (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 | 155 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,355 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 684 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 269.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 75.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 351004, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 July 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,623,992 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,372,330 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $251,662 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $262,396 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $514,058 (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 | 155 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,349 | 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 | 26.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 315.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 75.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 319928, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 November 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,410,236 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,625,502 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$215,266 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $229,776 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $14,510 (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 | 155 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,527 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 626 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 315.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 79.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 297278, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,435,713 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,934,357 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$498,644 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $204,004 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$294,640 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,161 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 714 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 313.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 276303, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 June 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,237,199 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,982,536 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $254,663 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $137,122 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $391,785 (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 | 155 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,729 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 723 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 346.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 253136, 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 22 April 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,210,552 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,530,588 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$320,036 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $112,490 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$207,546 (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 | 155 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,165 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 638 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 378.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214850, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 August 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,307,224 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,670,958 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$363,734 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $206,247 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$157,487 (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 | 155 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,921 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 614 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 371.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 82.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 189212, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 August 2001
Cost report for 1 January 2001 to 31 August 2001 — a reporting period of 242 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 22 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,917,071 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,538,564 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$621,493 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $91,193 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$530,300 (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 | 344 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 367.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 69.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160303, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,559,899 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,837,253 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,277,354 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $246,337 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,031,017 (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 | 33,648 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 326 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 500.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 103.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 124588, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,644,860 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,772,442 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,127,582 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $899,978 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$227,604 (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 | 32,859 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 376 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 320.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 87.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10189, 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 8 June 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,820,267 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,175,089 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$354,822 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,531 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$287,291 (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 | 24,889 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 286 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 576 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 87.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10186, 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 3 October 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,738,667 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,568,640 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $170,027 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $81,135 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $251,162 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,483 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 90.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10183, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 24 April 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,939,882 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,832,388 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $107,494 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $68,521 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $176,015 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,659 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 523.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 105.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10181, 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 |
|---|---|---|---|---|
| CCRC OPCO VENTURES, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 08/29/2014 |
| JANUS LIVING OP LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 03/19/2026 |
| BLACKROCK INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2026 |
| CCRC PROPCO VENTURES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2026 |
| HCP MA3, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2026 |
| HCP PARTNERS LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2026 |
| HCP S-H 2014 MEMBER LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/01/2020 |
| HCP VENTURES II PARTNER LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2026 |
| HCP/LS 2011 REIT, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2026 |
| HEALTHPEAK OP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/10/2023 |
| HEALTHPEAK PROPERTIES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/01/2020 |
| JANUS LIVING OP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2026 |
| JANUS LIVING, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2026 |
| JANUS MEMBER, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2026 |
| LIFE CARE SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/09/2025 |
| MARTINEZ IRIZARRY, AXEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/10/2025 |
| MOHADEO, TRISTAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/05/2026 |
| OCEAN ACQUISITION I LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2026 |
| STATE STREET CORPORATION | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2026 |
| VALLEJO AGUDELO, ANDRES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/09/2026 |
| VANGUARD GROUP INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2026 |
| HCP MA3 GP HOLDING, LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/19/2026 |
| HCP VENTURES II TRS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/19/2026 |
| JANUS LIVING TRS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/19/2026 |
| HCP MA3, LP | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/19/2026 |
| HCP PARTNERS LP | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/19/2026 |
| CHENG, PATRICK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/31/2022 |
| MOHADEO, TRISTAN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/25/2025 |
| RUSSO, FRANK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/31/2022 |
| BUETTNER, MARKUS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/31/2025 |
| LIFE CARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2020 |
| MARTINEZ IRIZARRY, AXEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| MOHADEO, TRISTAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/05/2025 |
| VALLEJO AGUDELO, ANDRES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2026 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CCRC - LAKE PORT SQUARE LLC (enrollment ID O20141113000537).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CCRC OPCO VENTURES, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/29/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| BLACKROCK INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8.16 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| CCRC PROPCO VENTURES, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 28.86 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP MA3, LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9.9 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP PARTNERS LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16.3 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP S-H 2014 MEMBER LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 43.87 | 2/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP VENTURES II PARTNER LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.88 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP/LS 2011 REIT, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9.59 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEALTHPEAK OP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 81.64 | 2/10/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEALTHPEAK PROPERTIES INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 81.64 | 2/1/2020 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| JANUS LIVING TRS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| JANUS LIVING, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 71.14 | 3/19/2026 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| JANUS MEMBER, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 52.78 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| OCEAN ACQUISITION I LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16.3 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| STATE STREET CORPORATION | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6.15 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| VANGUARD GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13.09 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| JANUS LIVING OP LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDRES VALLEJO AGUDELO | 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. | 3/9/2026 | 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. |
| AXEL MARTINEZ IRIZARRY | 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. | 4/10/2025 | 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. |
| BLACKROCK INC | 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. | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| CCRC PROPCO VENTURES, 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. | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP MA3, LP | 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. | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP PARTNERS LP | 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. | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP S-H 2014 MEMBER 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. | 2/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP VENTURES II PARTNER 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. | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP/LS 2011 REIT, 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. | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEALTHPEAK OP 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. | 2/10/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEALTHPEAK PROPERTIES INC | 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. | 2/1/2020 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| JANUS LIVING OP 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. | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| JANUS LIVING, INC. | 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. | 3/19/2026 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| JANUS MEMBER, 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. | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| LIFE CARE SERVICES 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. | 4/9/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| OCEAN ACQUISITION I 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. | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| STATE STREET CORPORATION | 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. | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRISTAN S MOHADEO | 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. | 3/5/2026 | 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. |
| VANGUARD GROUP INC | 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. | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP MA3 GP HOLDING, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 0.1 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP VENTURES II TRS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 0.24 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| JANUS LIVING TRS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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. | Organization | INDIRECT OWNERSHIP INTEREST | 1.63 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP MA3, LP | Organization | LIMITED PARTNERSHIP INTEREST | 9.9 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCP PARTNERS LP | Organization | LIMITED PARTNERSHIP INTEREST | 16.3 | 3/19/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| FRANK RUSSO | 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. | 1/31/2022 | 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. |
| PATRICK MICHAEL CHENG | 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. | 1/31/2022 | 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. |
| TRISTAN S MOHADEO | 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. | 5/25/2025 | 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. |
| ANDRES VALLEJO AGUDELO | 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. | 3/1/2026 | 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. |
| AXEL MARTINEZ IRIZARRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2025 | 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. |
| LIFE CARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 2/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARKUS BUETTNER | 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. | 3/31/2025 | 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. |
| TRISTAN S MOHADEO | 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. | 5/5/2025 | 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. |
Changes in ownership
- 1 July 2026: S-H 2014 OPCO TRS INC 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: FRANK RUSSO no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP VENTURES II PARTNER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP VENTURES II PARTNER LLC 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: JANUS LIVING, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANUS LIVING, INC. 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: HCP/LS 2011 REIT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP/LS 2011 REIT, LLC 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: HEALTHPEAK PROPERTIES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP MA3 GP HOLDING, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CCRC PROPCO VENTURES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CCRC PROPCO VENTURES, LLC 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: JANUS LIVING TRS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANUS LIVING TRS LLC 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: HEALTHPEAK OP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VANGUARD GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VANGUARD GROUP INC 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: HCP VENTURES II TRS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: FRANK RUSSO appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE STREET CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE STREET CORPORATION 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: HCP MA3, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP MA3, LP appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP MA3, LP 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: HCP PARTNERS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP PARTNERS LP appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP PARTNERS LP 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: BLACKROCK INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BLACKROCK INC 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: HCP S-H 2014 MEMBER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: OCEAN ACQUISITION I LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: OCEAN ACQUISITION I LLC 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: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANUS MEMBER, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANUS MEMBER, LLC 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: JANUS LIVING OP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANUS LIVING OP LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2026: ANDRES VALLEJO AGUDELO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANDRES VALLEJO AGUDELO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 April 2026: DANIEL BEELER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DANIEL BEELER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TRISTAN S MOHADEO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TRISTAN S MOHADEO appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TRISTAN S MOHADEO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 July 2025: PATRICK MICHAEL CHENG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JOHN B SPENCE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLENE BEDOR no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLENE BEDOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: FRANK RUSSO no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARKUS BUETTNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: AXEL MARTINEZ IRIZARRY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: AXEL MARTINEZ IRIZARRY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: LIFE CARE SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DANIEL BEELER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DANIEL BEELER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PATRICK MICHAEL CHENG appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: FRANK RUSSO appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 October 2024: WALTER STROLY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: JOHN B SPENCE appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 14 April 2023: HEALTHPEAK OP, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 15 March 2023: JEFFREY H MILLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DOUGLAS T. PINSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DOUGLAS T. PINSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: CHARLENE BEDOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: CHARLENE BEDOR appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 30 November 2022: BARRY J AUDAIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: BARRY J AUDAIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: DOUGLAS T. PINSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: DOUGLAS T. PINSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Recent changes on this record
- 1 July 2026: S-H 2014 OPCO TRS INC 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: FRANK RUSSO no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP VENTURES II PARTNER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP VENTURES II PARTNER LLC 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: JANUS LIVING, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANUS LIVING, INC. 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: HCP/LS 2011 REIT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP/LS 2011 REIT, LLC 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: HEALTHPEAK PROPERTIES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP MA3 GP HOLDING, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CCRC PROPCO VENTURES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CCRC PROPCO VENTURES, LLC 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: JANUS LIVING TRS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANUS LIVING TRS LLC 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: HEALTHPEAK OP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VANGUARD GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VANGUARD GROUP INC 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: HCP VENTURES II TRS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: FRANK RUSSO appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE STREET CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE STREET CORPORATION 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: HCP MA3, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP MA3, LP appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP MA3, LP 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: HCP PARTNERS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP PARTNERS LP appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HCP PARTNERS LP 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: BLACKROCK INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BLACKROCK INC 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: HCP S-H 2014 MEMBER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: OCEAN ACQUISITION I LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: OCEAN ACQUISITION I LLC 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: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANUS MEMBER, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANUS MEMBER, LLC 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: JANUS LIVING OP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANUS LIVING OP LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2026: ANDRES VALLEJO AGUDELO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANDRES VALLEJO AGUDELO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 April 2026: DANIEL BEELER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 11 June 2026 | 11 June 2026 | 9 | 2 |
| 2 | 13 February 2025 | 13 February 2025 | 7 | 1 |
| 3 | 25 October 2023 | 25 October 2023 | 12 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
28 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 11 June 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has plan of correction | 11 July 2026 |
| 11 June 2026 | 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. | D | No | Deficient, Provider has plan of correction | 11 July 2026 |
| 11 June 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has plan of correction | 11 July 2026 |
| 11 June 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has plan of correction | 11 July 2026 |
| 11 June 2026 | 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 plan of correction | 11 July 2026 |
| 11 June 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has plan of correction | 11 July 2026 |
| 11 June 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has plan of correction | 11 July 2026 |
| 11 June 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has plan of correction | 11 July 2026 |
| 11 June 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has plan of correction | 11 July 2026 |
| 13 February 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 25 March 2025 |
| 13 February 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 25 March 2025 |
| 13 February 2025 | 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 | 25 March 2025 |
| 13 February 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 | 25 March 2025 |
| 13 February 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. | D | No | Deficient, Provider has date of correction | 25 March 2025 |
| 13 February 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 25 March 2025 |
| 13 February 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 25 March 2025 |
| 11 April 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 | 1 May 2024 |
| 25 October 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 28 November 2023 |
| 25 October 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 28 November 2023 |
| 25 October 2023 | 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 | 28 November 2023 |
| 25 October 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 28 November 2023 |
| 25 October 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | 28 November 2023 |
| 25 October 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 28 November 2023 |
| 25 October 2023 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | 28 November 2023 |
| 25 October 2023 | 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 | 28 November 2023 |
| 25 October 2023 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | No | Deficient, Provider has date of correction | 28 November 2023 |
| 25 October 2023 | 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 | 28 November 2023 |
| 25 October 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 28 November 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | CCRC - LAKE PORT SQUARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1990-08-27 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Lake |
| Telephone Number | 3527283366 |
| Chain Name | HEALTHPEAK PROPERTIES, INC. |
| Chain ID | 261 |
| 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 | 80 |
| Average Number of Residents per Day | 74.9 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| 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.
Get an email when this record changes
One email a day naming what moved on LAKE PORT SQUARE HEALTH CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: S-H 2014 OPCO TRS INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for LAKE PORT SQUARE HEALTH CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Florida at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 105705.