Skilled nursing facility · CMS certification number 115597
HERITAGE INN HEALTH AND REHABILITATION
STATESBORO, Georgia · Medicare and Medicaid
Certified beds, as filed in Care Compare: 92
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 January 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,106,184 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $562,251 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,543,933 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,945,504 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$401,571 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $64,362 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$337,209 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$337,209 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 33,580 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 671 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 21,261 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,932 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 20 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 112 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 132 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 166.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446276, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,168,247 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $428,934 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,739,313 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,497,300 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$757,987 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $251,148 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$506,839 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$506,839 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,180 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 109.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441388, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 December 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,092,555 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $275,256 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,817,299 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,593,380 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$776,081 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $80,201 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$695,880 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$695,880 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,115 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 274.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1370051, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 May 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,806,562 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $406,298 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,400,264 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,401,484 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,001,220 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $525,368 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$475,852 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$475,852 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,845 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 128.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1347416, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,760,377 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $274,769 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,485,608 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,220,993 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$735,385 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $449,972 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$285,413 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$285,413 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,234 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 176.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327380, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,210,272 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $632,074 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,578,198 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,030,860 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$452,662 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $314,683 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$137,979 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$137,979 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,386 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 115.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300575, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,002,930 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $968,688 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,034,242 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,097,143 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$62,901 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,509 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$60,392 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$60,392 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,574 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 340 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 84.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1276748, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 May 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,013,454 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,104,620 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,908,834 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,333,571 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$424,737 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,928 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$412,809 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$412,809 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,708 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 284 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 101.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1255905, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 June 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,124,458 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $960,553 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,163,905 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,124,825 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $39,080 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,248 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $52,328 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $52,328 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,664 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 329 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 93.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1228311, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 January 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,975,989 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $759,930 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,216,059 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,338,105 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $877,954 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,215 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $897,169 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $897,169 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,229 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 322 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 96.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182196, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,609,321 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $590,806 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,018,515 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,312,361 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $706,154 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,705 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $742,859 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $742,859 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,018 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 320 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 96.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150224, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 June 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,002,089 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $508,379 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,493,710 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,950,345 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $543,365 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,563 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $574,928 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $574,928 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,379 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 232 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 130.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1129616, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,273,328 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $555,563 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,717,765 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,606,647 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $111,118 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,448 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $125,566 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $125,566 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,454 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 209 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 136.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1091134, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 April 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,929,990 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $497,131 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,432,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,390,615 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $42,244 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,546 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $53,790 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $53,790 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,049 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 262.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1059027, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,697,439 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,583,179 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $114,260 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,933 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $119,193 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,187 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 234.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434027, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 December 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,647,240 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,528,464 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $118,776 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,150 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $124,926 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,302 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 261.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422006, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 December 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,062,756 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,062,956 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$200 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,743 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $8,543 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,065 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 267.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422007, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 November 2007 to 30 June 2008 — a reporting period of 242 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 22 February 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,576,326 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,728,738 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$152,412 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,663 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$146,749 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,517 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 53 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 368.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364263, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 October 2007
Cost report for 1 July 2007 to 31 October 2007 — a reporting period of 122 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 9 September 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,384,103 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,287,060 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $97,043 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,430 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $41,522 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $93,951 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,566 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 14 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 754.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387242, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,317,476 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,328,499 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$11,023 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,607 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $103,806 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$106,222 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,041 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 667.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278053, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 June 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,423,218 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,463,206 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$39,988 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,602 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $65,149 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$61,535 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,413 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 110 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 191.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 267.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 255260, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 November 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,518,722 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,495,250 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $23,472 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,077 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $73,724 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$49,175 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,190 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 210.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 402.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 327.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 237367, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 30 June 2003
Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 March 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,124,560 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,947,092 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $177,468 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,173 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $38,343 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $165,298 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,000 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 105 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 374.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 276.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 210650, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 30 June 2002
Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 13 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,123,109 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,947,856 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $175,253 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,943 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $30,352 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $168,844 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,616 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 377 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 612.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 130998, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 30 June 2001
Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 July 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,779,290 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,819,742 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$40,452 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,467 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $85,882 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$104,867 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,756 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 95.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 460.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 153084, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 30 June 2000
Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,850,039 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,599,476 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $250,563 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,302 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $100,834 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $156,031 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,180 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 116 | 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, all patients, in days | 268.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 115544, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 30 June 1999
Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 August 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,660,693 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,434,320 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $226,373 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,840 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $108,715 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $126,498 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,004 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 180.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 11279, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 30 June 1998
Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 1 August 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,808,195 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,724,364 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $83,831 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,077 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $370,300 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$284,392 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,690 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 196.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 11276, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 30 June 1997
Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 July 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,556,598 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,387,557 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $169,041 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,376 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $174,417 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,645 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 418.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 11275, 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 |
|---|---|---|---|---|
| CLINICAL SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/15/2025 |
| HERRON, LATASHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/15/2025 |
| PATEL, MAULIKKUMAR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2023 |
| CABLE, PAUL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/14/2003 |
| DENNIS, KATHRYN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/17/2015 |
| NICHOLS, JOSEPH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/19/2024 |
| ROLLINS, RONNIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/14/2003 |
| WALL, JOSEPH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/14/2003 |
| WARNOCK, RALPH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/23/2020 |
| SHEFFIELD, KIMBERLY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/15/2025 |
| PEAVY, TIFFANY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2026 |
| CLINICAL SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2007 |
| GIBSON, MARTHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/10/2026 |
| HERRON, LATASHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/12/2020 |
| PATEL, MAULIKKUMAR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2023 |
| PEAVY, TIFFANY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2026 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BULLOCH COUNTY HEALTH CARE LLC (enrollment ID O20080910000359).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HEALTH SCHOLARSHIPS INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/1/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| COMMUNITY HEALTH SYSTEMS INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 11/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLINICAL SERVICES 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. | 4/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LATASHA HERRON | 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. | 4/15/2025 | 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. |
| MAULIKKUMAR A PATEL | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| 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. | 4/15/2025 | 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. | 4/15/2025 | 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. | 4/15/2025 | 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. | 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. | 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. |
| 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. | 1/29/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOSEPH A WALL | Individual | CORPORATE DIRECTOR | 100 | 3/14/2003 | 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. |
| JOSEPH NICHOLS | Individual | CORPORATE DIRECTOR | 100 | 11/19/2024 | 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. |
| KATHRYN DENNIS | Individual | CORPORATE DIRECTOR | 100 | 11/17/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PAUL A CABLE | Individual | CORPORATE DIRECTOR | 100 | 3/14/2003 | 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. |
| RALPH PARKS WARNOCK | Individual | CORPORATE DIRECTOR | 100 | 6/23/2020 | 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. |
| RONNIE D ROLLINS | Individual | CORPORATE DIRECTOR | 100 | 3/14/2003 | 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. |
| TIFFANY PEAVY | 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. | 1/1/2026 | 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. |
| CLINICAL SERVICES 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. | 11/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| LATASHA HERRON | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/12/2020 | 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. |
| MARTHA GIBSON | 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. | 3/10/2026 | 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. |
| MAULIKKUMAR A PATEL | 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. | 8/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TIFFANY PEAVY | 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. | 1/1/2026 | 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. |
Changes in ownership
- 1 July 2026: SHELIA STORMS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PAUL A CABLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARTHA GIBSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PAUL A CABLE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: KIMBERLY C HODGES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MARTHA GIBSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SHELIA STORMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: TIFFANY PEAVY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: TIFFANY PEAVY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 October 2025: KIMBERLY C HODGES no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTHA GIBSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MAULIKKUMAR A PATEL no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KIMBERLY F SHEFFIELD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LATASHA HERRON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LATASHA HERRON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOSEPH NICHOLS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOSEPH A WALL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KIMBERLY C HODGES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTHA GIBSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: COMMUNITY HEALTH SYSTEMS, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CLINICAL SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KATHRYN DENNIS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MAULIKKUMAR A PATEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MAULIKKUMAR A PATEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LATASHA HERRON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LATASHA HERRON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: RONNIE D ROLLINS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: RALPH PARKS WARNOCK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: PAUL A CABLE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 December 2024: KIMBERLY F SHEFFIELD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: KIMBERLY C HODGES appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: KIMBERLY F SHEFFIELD appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 September 2024: MAULIKKUMAR A PATEL appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 2 October 2023: BRANDON D POOLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- 2 October 2023: KIMBERLY SHEFFIELD appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
Recent changes on this record
- 1 July 2026: SHELIA STORMS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PAUL A CABLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARTHA GIBSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PAUL A CABLE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: KIMBERLY C HODGES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MARTHA GIBSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SHELIA STORMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: TIFFANY PEAVY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: TIFFANY PEAVY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 9 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 24 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 1 October 2025: KIMBERLY C HODGES no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTHA GIBSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MAULIKKUMAR A PATEL no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KIMBERLY F SHEFFIELD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LATASHA HERRON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LATASHA HERRON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOSEPH NICHOLS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOSEPH A WALL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KIMBERLY C HODGES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTHA GIBSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: COMMUNITY HEALTH SYSTEMS, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CLINICAL SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KATHRYN DENNIS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MAULIKKUMAR A PATEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MAULIKKUMAR A PATEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LATASHA HERRON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LATASHA HERRON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: RONNIE D ROLLINS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: RALPH PARKS WARNOCK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: PAUL A CABLE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 December 2024: KIMBERLY F SHEFFIELD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: KIMBERLY C HODGES appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: KIMBERLY F SHEFFIELD appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 September 2024: MAULIKKUMAR A PATEL appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 8 December 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 2 October 2023: BRANDON D POOLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- 2 October 2023: KIMBERLY SHEFFIELD appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- 17 May 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 19 June 2025 | 19 June 2025 | 4 | 1 |
| 2 | 25 January 2024 | 25 January 2024 | 4 | 4 |
| 3 | 8 May 2022 | 8 May 2022 | 0 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 19 June 2025 | 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 | 3 August 2025 |
| 19 June 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. | F | No | Deficient, Provider has date of correction | 3 August 2025 |
| 19 June 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 3 August 2025 |
| 19 June 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 3 August 2025 |
| 25 January 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 10 March 2024 |
| 25 January 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 10 March 2024 |
| 25 January 2024 | 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 | 10 March 2024 |
| 25 January 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 10 March 2024 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Other |
| Legal Business Name | BULLOCH COUNTY HEALTH CARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1996-02-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Bulloch |
| Telephone Number | 9127649011 |
| Chain Name | ETHICA HEALTH |
| Chain ID | 834 |
| 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 | 92 |
| Average Number of Residents per Day | 68.6 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on HERITAGE INN HEALTH AND REHABILITATION: 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: SHELIA STORMS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for HERITAGE INN HEALTH AND REHABILITATION
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 Georgia 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 115597.