Skilled nursing facility · CMS certification number 125043
PEARL CITY POST ACUTE
PEARL CITY, Hawaii · Medicare and Medicaid
Certified beds, as filed in Care Compare: 122
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 25 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,558,438 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,602,437 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $29,956,001 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,985,102 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,970,899 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $70,142 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,041,041 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,041,041 (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 | 244 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 89,304 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 7,860 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 20,062 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 13,514 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 41,436 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 246 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 89 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 417 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 752 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 55.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1429812, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 February 2023 to 31 December 2023 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,787,185 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $466,026 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,321,159 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,724,819 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $596,340 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $129,954 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $726,294 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $724,828 (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 | 244 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,068 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 344 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 84.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392869, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,391,336 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $236,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,155,024 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,498,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,343,251 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $154,025 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,189,226 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,290,461 (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 | 244 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,703 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 182.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332958, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,783,122 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,019,350 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,763,772 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,712,503 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,948,731 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,528,570 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,579,839 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,544,017 (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 | 244 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,343 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 185 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 185.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304139, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 November 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,049,144 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $974,332 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,074,812 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,270,353 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$195,541 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $974,906 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $779,365 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $744,264 (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 | 244 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,199 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 251 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 160.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274105, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,405,497 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,264,968 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,140,529 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,205,162 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$64,633 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $963,041 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $898,408 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $887,478 (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 | 244 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,084 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 247 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 166.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239674, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,011,114 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,346,551 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,664,563 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,799,561 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$134,998 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $998,948 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $863,950 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $850,902 (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 | 244 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,556 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 243 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 175.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208482, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,050,363 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,690,159 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,360,204 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,719,917 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$359,713 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $794,045 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $434,332 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $429,024 (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 | 244 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,255 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 212 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 204.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173262, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,884,938 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,264,352 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,620,586 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,604,193 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $16,393 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $780,305 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $796,698 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $796,698 (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 | 122 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,170 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 179 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 241.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142650, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,909,171 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,375,306 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,533,865 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,698,943 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$165,078 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $797,450 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $632,372 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $632,372 (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 | 244 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,489 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 241 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 176.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108232, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,355,647 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,057,451 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,298,196 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,571,418 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$273,222 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $822,894 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $549,672 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $549,672 (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 | 244 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,585 | 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 | 47.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 179.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077817, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,142,722 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $850,094 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,292,628 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,072,361 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $220,267 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $611,666 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $831,933 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $781,295 (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 | 366 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,022 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 146 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 294.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046609, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,982,325 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $615,376 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,366,949 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,663,119 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $703,830 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $329,055 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,032,885 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $997,657 (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 | 366 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,712 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 183 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 233.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024358, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,709,159 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,546,802 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,162,357 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $304,018 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,920 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,464,455 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,779 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 195 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 951.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 219.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415634, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 July 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,053,928 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,978,734 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,075,194 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $355,597 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $87,029 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,343,762 (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 | 366 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,435 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 174 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 83.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 631.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 249.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 381972, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 5 August 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,724,309 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,203,003 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $521,306 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $348,675 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $67,517 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $802,464 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,500 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 151 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 86.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,483 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 288.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353943, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,167,044 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,353,842 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $813,202 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $202,482 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,790 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,005,894 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,377 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 181 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 79.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 855.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 239.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 348966, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 March 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,434,937 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,392,079 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $42,858 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $179,116 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,121 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $218,853 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,365 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 794.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 221.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305600, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 January 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,907,008 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,975,504 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$68,496 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $169,741 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $101,232 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,413 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,073.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 371.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270306, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 15 May 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,687,339 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,805,541 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$118,202 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $221,561 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $103,359 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,002 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 198 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 851.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 217.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249314, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 December 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,715,230 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,633,444 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $81,786 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $193,666 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $275,452 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,102 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 900.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 272.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 203561, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 November 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,722,290 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,086,438 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $635,852 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,904 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $690,756 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,452 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 566.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 245.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 163581, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,544,433 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,132,825 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $411,608 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $96,086 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,659 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $505,035 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,273 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 178 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 517.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 243.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 140870, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,225,076 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,837,124 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $387,952 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $65,652 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $35 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $453,569 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,706 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 215 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 414.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 198.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 117106, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,907,222 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,751,258 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $155,964 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $158,799 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $314,763 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,917 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 691.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 230.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74341, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 26 October 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,926,399 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,126,002 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$199,603 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,340 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$182,263 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,883 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 232 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 620.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 184.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6064, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 July 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,307,252 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,730,077 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$422,825 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,169 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$401,656 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,441 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 222 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 607.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 75236, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on 2 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,093,210 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,681,191 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,587,981 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $268,753 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,319,228 (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 | 244 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,911 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 556.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 266.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 75235, 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 |
|---|---|---|---|---|
| PACIFIC SKILLED HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 06/30/2022 |
| OLSEN, SPENCER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 73% | since 06/30/2022 |
| SORENSEN, KRISTEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 13% | since 06/30/2022 |
| LEFLER, TYRUS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/23/2022 |
| OLSEN, SPENCER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/23/2022 |
| YOSHIDA, CYNTHIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2023 |
| LEFLER, TYRUS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PSH PEARL CITY LLC (enrollment ID O20230405000608).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PACIFIC SKILLED HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/30/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| AARON MAYER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15 | 6/30/2022 | 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. |
| KRISTEN SORENSEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12.5 | 6/30/2022 | 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. |
| SPENCER E OLSEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 72.5 | 6/30/2022 | 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. |
| CYNTHIA LC YOSHIDA | Individual | CORPORATE OFFICER | 0 | 2/1/2023 | 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. |
| SPENCER E OLSEN | Individual | CORPORATE OFFICER | 0 | 9/23/2022 | 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. |
| TYRUS LEFLER | Individual | CORPORATE OFFICER | 0 | 9/23/2022 | 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. |
| TYRUS LEFLER | 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. | 2/1/2023 | 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. |
Changes in ownership
- 1 July 2026: CYNTHIA LC YOSHIDA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CYNTHIA LC YOSHIDA appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 September 2025: TYRUS LEFLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 November 2023: RANDALL H ITO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: RANDALL H ITO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: RANDALL H ITO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: RANDALL H ITO no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MAEDENE S WAKABAYASHI no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: BRIAN PANG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: ROBYN R MCKINNEY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: ITO FAMILY HOLDINGS CORP no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: CYNTHIA LC YOSHIDA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: CYNTHIA LC YOSHIDA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: AARON MAYER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: KRISTEN SORENSEN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: PACIFIC SKILLED HEALTHCARE LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: TYRUS LEFLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: TYRUS LEFLER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: TYRUS LEFLER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: SPENCER E OLSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: SPENCER E OLSEN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: CYNTHIA LC YOSHIDA appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
Recent changes on this record
- 1 July 2026: CYNTHIA LC YOSHIDA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CYNTHIA LC YOSHIDA appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 September 2025: TYRUS LEFLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 25 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 22 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 16 January 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 1 November 2023: RANDALL H ITO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: RANDALL H ITO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: RANDALL H ITO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: RANDALL H ITO no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MAEDENE S WAKABAYASHI no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: BRIAN PANG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: ROBYN R MCKINNEY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: ITO FAMILY HOLDINGS CORP no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: CYNTHIA LC YOSHIDA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: CYNTHIA LC YOSHIDA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: AARON MAYER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: KRISTEN SORENSEN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: PACIFIC SKILLED HEALTHCARE LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: TYRUS LEFLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: TYRUS LEFLER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: TYRUS LEFLER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: SPENCER E OLSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: SPENCER E OLSEN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: CYNTHIA LC YOSHIDA appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 20 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 10 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 20 November 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 6 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 15 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 26 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 19 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 9 September 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 16 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 31 January 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 17 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 16 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 5 August 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 14 July 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 9 April 2026 | 23 May 2025 | 9 | 0 |
| 2 | 23 May 2025 | 25 April 2024 | 10 | 1 |
| 3 | 25 April 2024 | 12 May 2023 | 9 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
28 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 9 April 2026 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | 8 June 2026 |
| 9 April 2026 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | 8 June 2026 |
| 9 April 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 8 June 2026 |
| 9 April 2026 | 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 | 8 June 2026 |
| 9 April 2026 | 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 | 8 June 2026 |
| 9 April 2026 | 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 | 8 June 2026 |
| 9 April 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 8 June 2026 |
| 9 April 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 8 June 2026 |
| 9 April 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 8 June 2026 |
| 23 May 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 23 May 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 23 May 2025 | 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 | Yes | Deficient, Provider has date of correction | 5 June 2025 |
| 23 May 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 23 May 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 June 2025 |
| 23 May 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 23 May 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 23 May 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 7 November 2024 | 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 | Yes | Deficient, Provider has date of correction | 13 December 2024 |
| 7 November 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | 13 December 2024 |
| 25 April 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | 10 May 2024 |
| 25 April 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 10 May 2024 |
| 25 April 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 10 May 2024 |
| 25 April 2024 | 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 | 10 May 2024 |
| 25 April 2024 | 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 | 10 May 2024 |
| 25 April 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. | D | No | Deficient, Provider has date of correction | 10 May 2024 |
| 25 April 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 10 May 2024 |
| 15 February 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 29 February 2024 |
| 15 February 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 29 February 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 | For profit - Limited Liability company |
| Legal Business Name | PSH PEARL CITY LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1995-11-17 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Honolulu |
| Telephone Number | 8084531919 |
| 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 | 122 |
| Average Number of Residents per Day | 113.9 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| 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 PEARL CITY POST ACUTE: 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: CYNTHIA LC YOSHIDA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for PEARL CITY POST ACUTE
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 Hawaii 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 125043.