Skilled nursing facility · CMS certification number 106057

LIFE CARE CENTER OF ESTERO

ESTERO, Florida · Medicare and Medicaid

Certified beds, as filed in Care Compare: 155

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 March 2024 to 28 February 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 June 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$27,406,559	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,807,921	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$19,598,638	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,436,513	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,162,125	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$203,753	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,365,878	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,365,878 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	56,575	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	9,279	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	30,318	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	12,322	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	51,919	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	403	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	155	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	464	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	1,022	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	195.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	50.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450227, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended 29 February 2024

Cost report for 1 March 2023 to 29 February 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 March 2026.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$27,097,856	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,876,010	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,221,846	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,883,828	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,338,018	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$119,555	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,457,573	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,457,573 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	51,874	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	812	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	296.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	63.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448664, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended 28 February 2023

Cost report for 1 March 2022 to 28 February 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 June 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$26,582,365	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$9,091,622	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,490,743	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,138,017	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,352,726	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$105,306	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,458,032	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,458,032 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	45,050	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	770	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	301.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	58.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1387270, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended 28 February 2022

Cost report for 1 March 2021 to 28 February 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 May 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$25,248,976	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,550,580	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,698,396	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,295,254	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$403,142	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$422,557	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$825,699	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $825,699 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	48,818	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	808	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.12	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	263.99	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	60.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1346991, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended 28 February 2021

Cost report for 1 March 2020 to 28 February 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$19,435,166	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,177,964	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,257,202	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,570,916	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$313,714	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,212,394	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$898,680	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $898,680 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	41,785	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,069	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.32	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	32.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	39.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1326710, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 29 February 2020

Cost report for 1 March 2019 to 29 February 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 November 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$22,492,119	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,845,382	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,646,737	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,584,790	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,061,947	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$22,858	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,084,805	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,084,805 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	51,127	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	809	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	144.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	63.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304005, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 28 February 2019

Cost report for 1 March 2018 to 28 February 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 January 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$21,536,025	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,893,541	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,642,484	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,646,479	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$996,005	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,201	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,006,206	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,006,206 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	49,838	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	932	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	194.59	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 1278921, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended 28 February 2018

Cost report for 1 March 2017 to 28 February 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 June 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$20,812,706	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,297,497	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,515,209	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,311,656	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,203,553	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,461	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,214,014	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,214,014 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	47,619	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,060	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	177.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	44.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1257103, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended 28 February 2017

Cost report for 1 March 2016 to 28 February 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 March 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$21,288,384	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,406,909	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,881,475	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,383,428	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,498,047	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,868	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,507,915	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,507,915 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	49,202	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,032	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	185.12	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	47.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1221848, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended 29 February 2016

Cost report for 1 March 2015 to 29 February 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$20,450,525	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,768,959	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,681,566	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,386,374	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,295,192	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,615	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,303,807	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,303,807 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	49,633	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	976	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	204.27	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	50.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1222465, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended 28 February 2015

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

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$20,481,378	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,017,784	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,463,594	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,554,226	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$909,368	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$24,785	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$934,153	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $934,153 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	48,832	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	978	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	200.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	49.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140473, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended 28 February 2014

Cost report for 1 March 2013 to 28 February 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 March 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$20,020,570	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,054,696	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,965,874	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,529,797	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$436,077	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,135	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$445,212	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $445,212 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	47,603	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	991	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	165.34	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	48.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1087779, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended 28 February 2013

Cost report for 1 March 2012 to 28 February 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 May 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$19,672,875	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,539,474	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,133,401	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,117,537	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,015,864	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,491	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,032,355	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,032,355 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	46,662	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	903	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	305.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	51.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1059536, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended 29 February 2012

Cost report for 1 March 2011 to 29 February 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$18,994,162	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,784,745	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,209,417	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,581,823	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$627,594	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$40,711	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$668,305	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $668,305 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	155	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	47,976	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	818	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	327.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	58.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1042877, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2011, ended 28 February 2011

Cost report for 1 March 2010 to 28 February 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$17,167,736	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$15,502,469	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,665,267	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$60,587	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,725,854 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	53,614	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	855	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.26	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	356.27	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	62.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 431469, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended 28 February 2010

Cost report for 1 March 2009 to 28 February 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 August 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$16,910,262	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$15,867,035	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,043,227	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$80,113	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,123,340 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	56,858	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	750	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.95	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	511.42	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	75.81	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415403, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended 28 February 2009

Cost report for 1 March 2008 to 28 February 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2012.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$16,340,946	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$16,330,660	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$10,286	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$129,317	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $139,603 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	57,103	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	727	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.05	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	400.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	78.55	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 432343, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended 29 February 2008

Cost report for 1 March 2007 to 29 February 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 April 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$15,069,297	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$15,580,039	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$510,742	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$81,161	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$429,581 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	56,992	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	692	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	508.12	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	82.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 367608, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended 28 February 2007

Cost report for 1 March 2006 to 28 February 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 September 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$14,550,188	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$15,047,438	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$497,250	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$59,547	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$437,703 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	56,511	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	774	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.09	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	311.1	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	73.01	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 325329, read from the public cost report file SNFFY2006.zip.

Fiscal year 2006, ended 28 February 2006

Cost report for 1 March 2005 to 28 February 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 August 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$13,035,061	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$14,132,021	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$1,096,960	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$99,038	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$997,922 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	52,740	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	871	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.85	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	203.66	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	60.55	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 291502, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended 28 February 2005

Cost report for 1 March 2004 to 28 February 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 June 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$10,847,604	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$12,624,544	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$1,776,940	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$352,530	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,424,410 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	44,549	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	744	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.92	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	237.76	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	59.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 255622, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended 29 February 2004

Cost report for 23 October 2003 to 29 February 2004 — a reporting period of 129 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 30 August 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$1,638,952	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,183,448	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$1,544,496	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,310	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,534,186 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	179	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	5,946	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	168	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	35.39	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 231946, read from the public cost report file SNFFY2004.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
BIANCA, VINCENT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/13/2025
BREULER, JAMES	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/13/2025
LEE COUNTY MEDICAL INVESTORS	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/28/2011
LIFE CARE CENTERS OF AMERICA, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/13/2025
CROSS, CINDY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/30/2002
HENRY, TERRY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/16/1999
LAY, LISA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/09/2018
SWANKER, RICHARD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2011
THURMOND, JOAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/30/2002
DEVELOPERS INVESTMENT COMPANY II, INC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/24/2002
PRESTON, FORREST	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/24/2002
BREULER, JAMES	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/07/2003
HAND, CHERYL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/31/2009
PRESTON, AARON	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/01/2018
BIANCA, VINCENT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/19/2019
BREULER, JAMES	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/07/2003
DEVELOPERS INVESTMENT COMPANY II, INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 05/10/2010
FLETCHER, TODD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/13/2024
HAND, CHERYL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/31/2009
LEE COUNTY MEDICAL INVESTORS	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 09/26/2003
LIFE CARE CENTERS OF AMERICA, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/30/2002
PRESTON, AARON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2018
PRESTON, AUBREY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/13/2024
ZIEGLER, JAMES	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/13/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LEE COUNTY MEDICAL INVESTORS (enrollment ID O20030917000026).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
FORREST L PRESTON	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	98.67	6/24/2002	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES BREULER	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.	3/13/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LEE COUNTY MEDICAL INVESTORS	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.	12/28/2011	Private equity company: No Real estate investment trust: No Holding company: No
LIFE CARE CENTERS OF AMERICA, 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.	3/13/2025	Private equity company: No Real estate investment trust: No Holding company: No
VINCENT CHARLES BIANCA	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.	3/13/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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	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.	12/28/2011	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	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.	3/13/2025	Private equity company: No Real estate investment trust: No Holding company: No
CINDY S CROSS	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/30/2002	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.
JOAN E THURMOND	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/30/2002	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.
LISA M LAY	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/9/2018	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.
RICHARD SWANKER	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2011	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.
TERRY HENRY	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/16/1999	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.
DEVELOPERS INVESTMENT COMPANY II, INC	Organization	DIRECT OWNERSHIP INTEREST	1.33	6/24/2002	Private equity company: No Real estate investment trust: No Holding company: No
FORREST L PRESTON	Individual	INDIRECT OWNERSHIP INTEREST	1.33	6/24/2002	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.
AARON PRESTON	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.	11/1/2018	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.
CHERYL ANN HAND	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.	8/31/2009	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES BREULER	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.	4/7/2003	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.
AARON PRESTON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2018	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.
AUBREY PRESTON	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.	12/13/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHERYL ANN HAND	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/31/2009	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.
DEVELOPERS INVESTMENT COMPANY II, INC	Organization	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.	5/10/2010	Private equity company: No Real estate investment trust: No Holding company: No
JAMES BREULER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/7/2003	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES ZIEGLER	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.	12/13/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LEE COUNTY MEDICAL INVESTORS	Organization	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.	9/26/2003	Private equity company: No Real estate investment trust: No Holding company: No
LIFE CARE CENTERS OF AMERICA, INC.	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	10/30/2002	Private equity company: No Real estate investment trust: No Holding company: No
TODD FLETCHER	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.	12/13/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VINCENT CHARLES BIANCA	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/19/2019	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: JAMES BREULER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FORREST L PRESTON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES BREULER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES BREULER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES BREULER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEVELOPERS INVESTMENT COMPANY II, INC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEVELOPERS INVESTMENT COMPANY II, INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES ZIEGLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LISA M LAY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LEE COUNTY MEDICAL INVESTORS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LEE COUNTY MEDICAL INVESTORS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AARON PRESTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AARON PRESTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LIFE CARE CENTERS OF AMERICA, 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: RICHARD SWANKER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TERRY HENRY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FORREST L PRESTON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FORREST L PRESTON appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: VINCENT CHARLES BIANCA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: VINCENT CHARLES BIANCA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AUBREY PRESTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL ANN HAND appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL ANN HAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TODD FLETCHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Recent changes on this record

1 July 2026: JAMES BREULER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FORREST L PRESTON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES BREULER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES BREULER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES BREULER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEVELOPERS INVESTMENT COMPANY II, INC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEVELOPERS INVESTMENT COMPANY II, INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES ZIEGLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LISA M LAY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LEE COUNTY MEDICAL INVESTORS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LEE COUNTY MEDICAL INVESTORS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AARON PRESTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AARON PRESTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LIFE CARE CENTERS OF AMERICA, 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: RICHARD SWANKER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TERRY HENRY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FORREST L PRESTON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FORREST L PRESTON appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: VINCENT CHARLES BIANCA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: VINCENT CHARLES BIANCA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AUBREY PRESTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL ANN HAND appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL ANN HAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TODD FLETCHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
5 June 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
20 March 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
28 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
10 May 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
22 July 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
10 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
25 January 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
8 June 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
17 April 2019: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
26 March 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
10 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
26 March 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
8 May 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
23 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
21 September 2012: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	29 January 2026	29 January 2026	1	5
2	19 October 2023	19 October 2023	5	2
3	9 December 2021	9 December 2021	4	2

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

Deficiencies cited

10 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
29 January 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.	F	No	Deficient, Provider has date of correction	28 February 2026
9 July 2024	Health	F 0622	Resident Rights Deficiencies	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.	D	Yes	Deficient, Provider has date of correction	9 August 2024
9 July 2024	Health	F 0626	Resident Rights Deficiencies	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.	D	Yes	Deficient, Provider has date of correction	9 August 2024
9 July 2024	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	Yes	Deficient, Provider has date of correction	9 August 2024
19 October 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	19 November 2023
19 October 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	E	No	Deficient, Provider has date of correction	19 November 2023
19 October 2023	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	D	No	Deficient, Provider has date of correction	19 November 2023
19 October 2023	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E	No	Deficient, Provider has date of correction	19 November 2023
19 October 2023	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	E	No	Deficient, Provider has date of correction	19 November 2023
9 December 2021	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	9 January 2022

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
9 July 2024	Fine	$4,017			31380
9 July 2024	Fine	$4,017			31381

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	LEE COUNTY MEDICAL INVESTORS
Date First Approved to Provide Medicare and Medicaid Services	2003-10-23
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Lee
Telephone Number	2394954000
Chain Name	LIFE CARE CENTERS OF AMERICA
Chain ID	311
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	155
Average Number of Residents per Day	151.3
Overall Rating	5
Health Inspection Rating	4
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	5
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 LIFE CARE CENTER OF ESTERO: 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: JAMES BREULER no longer appears as W-2 MANAGING EMPLOYEE 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.

See a sample

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 LIFE CARE CENTER OF ESTERO

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.

Read the citable document for this facility →

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 106057.