Facility record report · CMS certification number 115772

Mesun Health and Rehabilitation Center

Lawrenceville, Georgia · Medicare and Medicaid

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$8,252,823	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$8,252,823	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,682,266	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$429,443	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$429,443	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$429,443 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	36,600	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	6,677	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	5,862	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	6,804	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	19,343	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	284	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	3	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	235	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	522	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.51	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,954	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	37.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436521, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 September 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$9,801,442	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,693,442	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,108,000	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,722,258	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$385,742	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$36,493	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$422,235	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $422,235 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,792	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	529	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,090.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	33.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439331, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 March 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$6,790,311	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$6,790,311	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,888,032	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$97,721	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$97,721	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$97,721 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,653	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	390	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.37	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	172.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	37.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375329, read from the public cost report file SNF10FY2022.zip.

Cost report for 6 January 2021 to 31 December 2021 — a reporting period of 359 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	$3,467,180	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$3,467,180	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,240,580	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$773,400	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$773,400	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$773,400 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,876	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	197	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	330.86	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	50.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1325443, read from the public cost report file SNF10FY2021.zip.

Five facilities of a similar size in Georgia, fiscal year 2024

Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
ABERCORN REHABILITATION CENTER LLC	100	33,237	$9,050,005	$9,857,087	−$807,082	30 June 2024
BROWN HEALTH AND REHABILITATION	100	31,836	$8,908,279	$9,378,189	−$469,910	30 June 2024
MESUN HEALTH AND REHAB	100	19,343	$8,252,823	$8,682,266	−$429,443	31 December 2024
PRUITTHEALTH - BLUE RIDGE LLC	101	24,846	$7,499,430	$7,457,109	$42,321	30 June 2024
PRUITTHEALTH - RICHMOND LLC	100	21,803	$6,691,952	$8,851,163	−$2,159,211	30 June 2024
PRUITTHEALTH - SEASIDE LLC	101	26,844	$9,270,887	$8,765,478	$505,409	30 June 2024

Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.

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
KIM, EUGENE	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 03/28/2022
KIM, HANSON	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 08/20/2020
COTTON, DANNY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/20/2020
KIM, HANSON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/20/2020
SEOL, SUKHEE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/22/2020
RADMAN, BRUCE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/22/2020
COTTON, DANNY	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 08/21/2020
RADMAN, BRUCE	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 08/22/2020
SEOL, SUKHEE	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 08/22/2020

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MESUN HEALTH SERVICES INC (enrollment ID O20201228001750).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
EUGENE T KIM	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	3/28/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
HANSON KIM	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	8/20/2020	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.
DANNY COTTON	Individual	CORPORATE OFFICER	0	8/20/2020	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.
HANSON KIM	Individual	CORPORATE OFFICER	100	8/20/2020	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.
SUKHEE SEOL	Individual	CORPORATE OFFICER	0	8/22/2020	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.
BRUCE RADMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	0	8/22/2020	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.
BRUCE RADMAN	Individual	W-2 MANAGING EMPLOYEE	0	8/22/2020	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.
DANNY COTTON	Individual	W-2 MANAGING EMPLOYEE	0	8/21/2020	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.
SUKHEE SEOL	Individual	W-2 MANAGING EMPLOYEE	0	8/22/2020	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.

Changes in ownership

17 July 2023: EUGENE T KIM appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	21 November 2025	21 November 2025	9	0
2	18 July 2024	18 July 2024	5	8
3	25 May 2022	25 May 2022	17	1

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

Deficiencies cited

31 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
21 November 2025	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	Yes	Deficient, Provider has date of correction	5 January 2026
21 November 2025	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	No	Deficient, Provider has date of correction	5 January 2026
21 November 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	5 January 2026
21 November 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	5 January 2026
21 November 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	5 January 2026
21 November 2025	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D	No	Deficient, Provider has date of correction	5 January 2026
21 November 2025	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	5 January 2026
21 November 2025	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	5 January 2026
21 November 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	26 January 2026
18 July 2024	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	E	Yes	Deficient, Provider has date of correction	18 October 2024
18 July 2024	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	Yes	Deficient, Provider has date of correction	17 September 2024
18 July 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	Yes	Deficient, Provider has date of correction	17 September 2024
18 July 2024	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	Yes	Deficient, Provider has date of correction	17 September 2024
18 July 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	Yes	Deficient, Provider has date of correction	17 September 2024
6 December 2023	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	19 January 2024
6 December 2023	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	19 January 2024
25 May 2022	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	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.	E	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	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	29 July 2022
25 May 2022	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	Health	F 0838	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	D	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	Health	F 0867	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	F	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	F	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	Health	F 0885	Infection Control Deficiencies	Report COVID19 data to residents and families.	F	No	Deficient, Provider has date of correction	29 July 2022
25 May 2022	Health	F 0888	Infection Control Deficiencies	Ensure staff are vaccinated for COVID-19	E	No	Deficient, Provider has date of correction	29 July 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
18 July 2024	Fine	$4,017			37058
18 July 2024	Payment Denial		16 October 2024	2

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 - Individual
Legal Business Name	MESUN HEALTH SERVICES INC
Date First Approved to Provide Medicare and Medicaid Services	2021-01-06
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Gwinnett
Telephone Number	4043671907
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	100
Average Number of Residents per Day	70.3
Overall Rating	2
Health Inspection Rating	2
QM Rating	2
Long-Stay QM Rating	2
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.

Every change on this record

11 September 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
21 March 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
17 July 2023: EUGENE T KIM appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
22 July 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip

How to read this report

Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.

A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.

This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.

How to cite this report

Velarion Records, Mesun Health and Rehabilitation Center — facility record report, CMS certification number 115772. https://velarionrecords.com/facility/115772/report.

Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file SNF10FY2024.zip.
Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
Care Compare ownership: CMS file dated 1 August 2026.
Medicare enrollment ownership: CMS file dated 1 August 2026.
Nurse staffing: CMS Payroll-Based Journal, quarters 2022Q4 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 115772. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2022Q4	31 December 2022	92	3,411	3,225.5	5,275	8,768	17,268.5
2023Q1	31 March 2023	90	4,276	3,071	5,217.5	8,470	16,758.5
2023Q2	30 June 2023	91	4,275	3,369.5	5,666.5	8,640.5	17,676.5
2023Q3	30 September 2023	92	5,207	4,030.5	5,408.5	9,184	18,623
2023Q4	31 December 2023	92	5,085	4,680	5,383	9,988.5	20,051.5
2024Q1	31 March 2024	91	8,778	5,405	5,374.5	9,507	20,286.5
2024Q2	30 June 2024	91	8,136	4,342.5	5,633.5	10,780	20,756
2024Q3	30 September 2024	92	4,706	4,293.5	5,222.25	11,170.75	20,686.5
2024Q4	31 December 2024	92	5,419	3,739.5	5,742.8	15,163.3	24,645.6
2025Q1	31 March 2025	90	5,246	3,493.5	4,782	14,308.5	22,584
2025Q2	30 June 2025	91	4,880	4,201	4,539	13,348.5	22,088.5
2025Q3	30 September 2025	92	5,428	4,277.5	4,475.6	12,906	21,659.1
2025Q4	31 December 2025	92	6,037	3,558.5	4,644.63	13,467.33	21,670.46
2026Q1	31 March 2026	90	6,331	3,454.5	5,182.62	14,350.44	22,987.56

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2022Q4	0.945617	1.546467	2.570507	5.062592
2023Q1	0.718195	1.220182	1.980823	3.9192
2023Q2	0.788187	1.325497	2.02117	4.134854
2023Q3	0.774054	1.038698	1.76378	3.576532
2023Q4	0.920354	1.058604	1.964307	3.943265
2024Q1	0.615744	0.612269	1.083049	2.311062
2024Q2	0.533739	0.692416	1.324975	2.551131
2024Q3	0.912346	1.1097	2.373725	4.395771
2024Q4	0.690072	1.059753	2.798173	4.547998
2025Q1	0.665936	0.911552	2.727507	4.304994
2025Q2	0.860861	0.930123	2.735348	4.526332
2025Q3	0.788043	0.824539	2.377671	3.990254
2025Q4	0.589448	0.769361	2.230798	3.589607
2026Q1	0.545648	0.81861	2.266694	3.630952

How each quarter is derived, and its file

2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv
2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv
2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv
2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv
2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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