Skilled nursing facility · CMS certification number 135084

Oak Creek Rehabilitation Center of Kimberly

Kimberly, Idaho · Medicare and Medicaid

Certified beds, as filed in Care Compare: 57

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 24 September 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$4,280,531	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$642,458	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,638,073	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,424,121	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$786,048	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$815,525	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$29,477	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $29,477 (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	57	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	20,862	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	729	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	10,460	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,451	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	13,640	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	14	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	27	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	35	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	76	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	387.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	179.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440050, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 May 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,535,683	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$705,617	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,830,066	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,212,079	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$382,013	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$650,092	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$268,079	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $268,079 (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	57	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,528	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	58	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	440.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	233.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1421542, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,473,458	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$412,414	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,061,044	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,998,488	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$62,556	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,335,538	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,398,094	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,398,094 (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	57	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,408	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	78	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	344.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	171.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396693, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 November 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$4,500,068	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$262,180	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,237,888	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,891,404	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$346,484	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,060,975	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,407,459	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,407,459 (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	57	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,194	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	80	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.15	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	596.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	177.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1368946, 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 21 February 2023.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,158,668	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$216,529	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,942,139	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,226,996	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$715,143	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$918,844	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,633,987	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,633,987 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	57	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,520	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	104	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	69.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	178.95	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	149.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342817, 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 2 February 2022.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$5,493,223	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$948,871	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,544,352	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,834,070	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$710,282	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$502,514	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,212,796	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,212,796 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	57	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,328	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	76	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	374.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	188.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309780, 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 23 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,904,261	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$760,517	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,143,744	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,896,970	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$753,226	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$601,055	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$152,171	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$152,171 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	57	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,153	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	62	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	187.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	163.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241932, 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 31 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,546,217	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,029,471	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,516,746	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,759,591	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,242,845	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$632,975	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$609,870	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$609,870 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	57	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,804	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	84	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	179.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	140.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1203779, 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 21 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,936,172	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,224,923	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,711,249	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,412,466	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$701,217	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$699,306	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,911	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,911 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	57	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,598	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	97	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	14.32	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	307.57	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	129.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170438, 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 18 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$4,655,302	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,080,884	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,574,418	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,215,198	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$640,780	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$660,362	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$19,582	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $19,582 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	57	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,855	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	37	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	65.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	574.53	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	320.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141845, 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 20 April 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,151,462	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$900,089	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,251,373	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,760,346	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$508,973	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$560,937	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$51,964	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $51,964 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,974	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	59	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	250.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	186	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1121771, 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 23 September 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,259,428	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$664,744	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,594,684	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,493,944	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$899,260	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$767,607	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$131,653	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$131,653 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,019	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	52	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	341.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	231.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1110626, 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 23 July 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,184,425	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$288,741	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,895,684	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,336,461	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$440,777	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$614,999	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$174,222	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $174,222 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,832	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	81	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	583.47	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	158.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1073368, 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 May 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$3,692,554	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$80,815	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,611,739	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,665,171	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$53,432	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$396,587	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$343,155	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $343,155 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,888	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	91	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	362.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	141.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1031412, 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 13 August 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,537,461	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,092,194	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$554,733	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,790,771	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,236,038 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	45	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	12,800	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	80	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.21	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	302.45	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	160	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 431082, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 December 2008 to 31 December 2009 — a reporting period of 395 days, on form CMS-2540-96, settled, processed by CMS on 26 January 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,818,269	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,115,203	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,296,934	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,247	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,295,687 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	45	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	12,498	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	78	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	322.16	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	160.23	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 393198, read from the public cost report file SNFFY2009.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 11 September 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$2,124,878	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,080,597	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$44,281	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $44,281 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	45	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	12,844	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	54	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	316.62	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	237.85	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 159279, 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 11 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$1,940,341	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,212,878	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$272,537	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$272,537 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	13,579	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	45	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.3	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	331.81	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	301.76	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 114344, 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 10 October 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	−$423,434	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,532,686	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,956,120	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$1,956,120 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	64	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	11,254	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	24	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	66	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	899.11	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	468.92	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 51131, 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 1 November 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Total operating expenses	$1,565,884	CMS-2540-96 worksheet G200002 line 1500 column 200

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	64	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,746	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	52	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	69.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	291.77	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	206.65	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 51129, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 October 1997 to 31 December 1997 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 21 April 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$237,896	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$382,306	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$144,410	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$140	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$144,270 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	64	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	2,368	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	8	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	738	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	296	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 51127, read from the public cost report file SNFFY1998.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
BRP HEALTH MANAGEMENT SYSTEMS INC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 12/01/2010
SNAKE RIVER HEALTHCARE LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 11/01/2018
BRP HEALTH MANAGEMENT SYSTEMS INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/14/2025
BURLEY SKILLED NURSING FACILITY, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/01/2008
GIES, FLORIAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/16/2025
HERRERA, JERRI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/14/2025
CRUMP, JASON	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/01/2018
FULLMER, CHAD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/01/2018
MCSPADDEN, DARIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/01/2018
MOORE, THOMAS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/01/2018
WHITE, DEREK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 06/01/2021
CHAROLAIS CARE II, INC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/01/2008
CRUMP, JASON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2018
FULLMER, CHAD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2018
GIES, FLORIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2018
MCSPADDEN, DARIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2021
MOORE, THOMAS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2018
WHITE, DEREK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2018

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CHAROLAIS CARE II, INC (enrollment ID O20090406000222).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
BRP HEALTH MANAGEMENT SYSTEMS INC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	12/1/2010	Private equity company: No Real estate investment trust: No Holding company: No
SNAKE RIVER HEALTHCARE LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	11/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
BRP HEALTH MANAGEMENT SYSTEMS INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
BURLEY SKILLED NURSING FACILITY, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2008	Private equity company: No Real estate investment trust: No Holding company: No
FLORIAN J GIES	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/16/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JERRI HERRERA	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/14/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHAD B FULLMER	Individual	CORPORATE DIRECTOR	22.5	11/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DARIN S MCSPADDEN	Individual	CORPORATE DIRECTOR	22.5	11/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEREK O WHITE	Individual	CORPORATE DIRECTOR	22.5	6/1/2021	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.
JASON W CRUMP	Individual	CORPORATE DIRECTOR	22.5	11/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THOMAS G MOORE	Individual	CORPORATE DIRECTOR	22.5	11/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHAROLAIS CARE II, INC	Organization	DIRECT OWNERSHIP INTEREST	100	6/1/2008	Private equity company: No Real estate investment trust: No Holding company: No
CHAD B FULLMER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DARIN S MCSPADDEN	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.	6/1/2021	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.
DEREK O WHITE	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.	6/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FLORIAN J GIES	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JASON W CRUMP	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THOMAS G MOORE	Individual	OPERATIONAL/MANAGERIAL CONTROL	33.33	6/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: BURLEY SKILLED NURSING FACILITY, LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BURLEY SKILLED NURSING FACILITY, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2026: JAMES B EVERTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JAMES B EVERTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SUSAN J CRUMP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SUSAN J CRUMP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JASON W CRUMP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JASON W CRUMP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAROLAIS CARE II, INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SNAKE RIVER HEALTHCARE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DARIN S MCSPADDEN no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DARIN S MCSPADDEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DEREK O WHITE no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DEREK O WHITE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARY D TANK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: THOMAS G MOORE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAD B FULLMER no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAD B FULLMER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TOWER BRIDGE FLP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TOWER BRIDGE FLP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: HEATHER L MCSPADDEN no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: HEATHER L MCSPADDEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: RONNMARK FLP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: RONNMARK FLP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: BRP HEALTH MANAGEMENT SYSTEMS INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: EELIR FLP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: EELIR FLP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TAKAYAMA FLP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TAKAYAMA FLP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: REBECCA S FULLMER no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: REBECCA S FULLMER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LEWIS M CHANDLER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LEWIS M CHANDLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LORI A WHITE no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LORI A WHITE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JASON W CRUMP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JASON W CRUMP appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAROLAIS CARE II, INC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DARIN S MCSPADDEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DEREK O WHITE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DEREK O WHITE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JERRI HERRERA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAD B FULLMER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: FLORIAN J GIES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: FLORIAN J GIES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: BRP HEALTH MANAGEMENT SYSTEMS INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: BURLEY SKILLED NURSING FACILITY, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv

Recent changes on this record

1 July 2026: BURLEY SKILLED NURSING FACILITY, LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BURLEY SKILLED NURSING FACILITY, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2026: JAMES B EVERTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JAMES B EVERTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SUSAN J CRUMP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SUSAN J CRUMP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JASON W CRUMP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JASON W CRUMP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAROLAIS CARE II, INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SNAKE RIVER HEALTHCARE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DARIN S MCSPADDEN no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DARIN S MCSPADDEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DEREK O WHITE no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DEREK O WHITE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARY D TANK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: THOMAS G MOORE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAD B FULLMER no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAD B FULLMER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TOWER BRIDGE FLP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TOWER BRIDGE FLP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: HEATHER L MCSPADDEN no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: HEATHER L MCSPADDEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: RONNMARK FLP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: RONNMARK FLP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: BRP HEALTH MANAGEMENT SYSTEMS INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: EELIR FLP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: EELIR FLP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TAKAYAMA FLP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TAKAYAMA FLP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: REBECCA S FULLMER no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: REBECCA S FULLMER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LEWIS M CHANDLER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LEWIS M CHANDLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LORI A WHITE no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LORI A WHITE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JASON W CRUMP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JASON W CRUMP appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAROLAIS CARE II, INC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DARIN S MCSPADDEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DEREK O WHITE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	5 December 2025	5 December 2025	14	13
2	4 July 2024	4 July 2024	2	6
3	9 May 2019	9 May 2019	0	16

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

Deficiencies cited

16 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
5 December 2025	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.	E	Yes	Deficient, Provider has date of correction	9 January 2026
5 December 2025	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	Past Non-Compliance	3 June 2025
5 December 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	Yes	Deficient, Provider has date of correction	9 January 2026
5 December 2025	Health	F 0646	Resident Assessment and Care Planning Deficiencies	Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.	D	Yes	Deficient, Provider has date of correction	9 January 2026
5 December 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	9 January 2026
5 December 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	Yes	Deficient, Provider has date of correction	9 January 2026
5 December 2025	Health	F 0728	Nursing and Physician Services Deficiencies	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	D	Yes	Deficient, Provider has date of correction	9 January 2026
5 December 2025	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	D	Yes	Deficient, Provider has date of correction	9 January 2026
5 December 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	9 January 2026
5 December 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	9 January 2026
5 December 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	Yes	Deficient, Provider has date of correction	9 January 2026
5 December 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	Yes	Deficient, Provider has date of correction	9 January 2026
5 December 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	9 January 2026
5 December 2025	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	Yes	Deficient, Provider has date of correction	9 January 2026
4 July 2024	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.	J	Yes	Past Non-Compliance	25 June 2024
4 July 2024	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.	G	Yes	Past Non-Compliance	25 June 2024

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
4 July 2024	Fine	$13,627			45645

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	CHAROLAIS CARE II, INC
Date First Approved to Provide Medicare and Medicaid Services	1981-09-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Twin Falls
Telephone Number	2084235591
Chain Name	CASCADES HEALTHCARE
Chain ID	117
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	57
Average Number of Residents per Day	35.7
Overall Rating	1
Health Inspection Rating	2
QM Rating	4
Long-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 Oak Creek Rehabilitation Center of Kimberly: 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: BURLEY SKILLED NURSING FACILITY, LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Oak Creek Rehabilitation Center of Kimberly

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 Idaho at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 135084.