Skilled nursing facility · CMS certification number 145239

GOLDWATER CARE PEORIA HEIGHTS

PEORIA HEIGHTS, Illinois · Medicare and Medicaid

Certified beds, as filed in Care Compare: 94

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 12 September 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$4,316,962	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$498,160	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,818,802	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,724,264	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$905,462	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$807	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$904,655	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$904,655 (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	94	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	34,404	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	235	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	12,943	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	4,501	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	17,679	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	1	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	103	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	42	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	146	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	235	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	125.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	121.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439440, 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 20 November 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,354,893	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$73,617	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,281,276	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,501,665	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$220,389	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$225,555	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$5,166	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $5,166 (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	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,914	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	68	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	383.97	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	263.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1399197, 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 20 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,504,393	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$203,013	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,301,380	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,382,049	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,080,669	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$193,987	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$886,682	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$886,682 (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	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,141	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	76.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	334.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	192.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365038, 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 22 July 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$4,462,464	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$464,484	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,997,980	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,569,957	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,571,977	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$636,122	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$935,855	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$935,855 (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	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,353	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	65.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	406.12	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	214.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1327499, 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 25 April 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$4,326,908	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$635,400	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,691,508	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,969,114	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$277,606	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,091,098	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$813,492	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $813,492 (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	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,930	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	79	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.12	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	466.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	226.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314678, 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 19 May 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,518,555	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$522,750	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,995,805	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,070,986	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$75,181	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$55,182	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$19,999	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$19,999 (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	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,947	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	70	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	454.27	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	213.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1255726, 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 10 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,300,089	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$263,495	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,036,594	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,643,504	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$606,910	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,214	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$604,696	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$604,696 (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	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,435	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	64	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	66.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	484.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	272.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1236233, 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 19 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,557,449	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$249,175	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,308,274	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,872,209	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$563,935	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,920	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$561,015	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$561,015 (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	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,799	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	65	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	423.19	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	273.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1201006, 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 17 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,467,215	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$208,351	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,258,864	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,404,636	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$145,772	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,354	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$139,418	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$139,418 (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	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,188	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	84.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	386.95	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	284.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1168744, 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 21 June 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$5,212,095	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$326,958	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,885,137	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,343,638	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$541,499	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,425	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$546,924	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $546,924 (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	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,902	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	144	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	250.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	165.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1130783, 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 25 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$5,685,661	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$555,468	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,130,193	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,788,713	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$341,480	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$47,886	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$389,366	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $389,366 (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	98	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,112	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	139	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	376.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	187.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1104366, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 February 2013 to 31 December 2013 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$5,421,198	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$449,561	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,971,637	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,338,074	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$633,563	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$39,597	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$673,160	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $673,160 (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	98	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,173	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	171	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.94	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	151.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	147.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1072425, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 September 2012

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 April 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$7,863,769	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,218,521	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,645,248	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,455,072	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$809,824	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$61,185	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$748,639	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$748,639 (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	98	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,511	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	209	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	131.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1028202, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 September 2011

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 April 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$5,963,600	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,947,603	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$15,997	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$58,959	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $74,955 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,084	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	197	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	58.56	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	266.9	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	127.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 428308, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended 30 September 2010

Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 May 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,598,250	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,979,729	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$381,479	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$73,315	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$308,164 (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	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,379	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	223	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	49.68	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	282.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	109.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398612, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 September 2009

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 April 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,997,401	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,007,812	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,010,411	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$60,386	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$950,025 (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	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,762	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	201	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.44	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	264.43	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	123.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 367854, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 30 September 2008

Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 April 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$5,062,732	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,851,387	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$2,788,655	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$67,289	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$2,721,366 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,791	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	240	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	49.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	285.09	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	119.96	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 337201, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 30 September 2007

Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 May 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,989,752	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,084,509	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$94,757	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$71,380	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$23,377 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,657	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	244	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.09	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	334.47	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	125.64	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 308152, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 30 September 2006

Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 May 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,971,102	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,411,937	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$440,835	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$129,430	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$311,405 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,062	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	193	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	58.58	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	325.43	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	166.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 277609, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 30 September 2005

Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 April 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$4,861,190	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,903,651	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$42,461	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$58,599	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $16,138 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,597	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	218	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.04	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	216.75	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	149.53	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 247520, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 30 September 2004

Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 April 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$4,598,886	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,647,547	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$48,661	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$86,375	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $37,714 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,662	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	171	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.39	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	322.57	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	191.01	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 215434, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 30 September 2003

Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$4,176,565	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,329,649	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$153,084	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$59,363	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$93,721 (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 2003
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,627	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	211	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.07	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	191.52	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	154.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 173792, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 30 September 2002

Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 January 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$3,857,543	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,205,517	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$347,974	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$54,713	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$293,261 (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 2002
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,918	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	180	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.43	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	282.48	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	188.43	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 166689, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 30 September 2001

Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 May 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$3,825,621	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,877,445	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$51,824	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$55,236	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $3,412 (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	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,808	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	249	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.84	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	164.12	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	135.78	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 146409, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 30 September 2000

Cost report for 1 October 1999 to 30 September 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 15 March 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$3,689,712	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,715,726	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$26,014	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$58,274	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $32,260 (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	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,445	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	173	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.05	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	276.17	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	199.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 85182, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 30 September 1999

Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 January 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$3,750,979	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,715,143	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$35,836	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$55,631	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $91,467 (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	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,318	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	162	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.71	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	358.09	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	211.84	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 85180, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 30 September 1998

Cost report for 1 September 1998 to 30 September 1998 — a reporting period of 29 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 14 April 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$296,910	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$514,890	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$217,980	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,350	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$213,630 (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 1998
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	2,892	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	10	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	21.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	470.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	289.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 85178, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 30 June 1997

Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 18 March 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$3,331,064	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,246,271	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$84,793	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$29,886	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $114,679 (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	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,589	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	157	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	424.15	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	220.31	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 85172, read from the public cost report file SNFFY1996.zip.

Fiscal year 1996, ended 30 June 1996

Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 September 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$3,180,608	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,236,780	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$56,172	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$99,928	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$10,645	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $33,111 (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 1996
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,668	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	184	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.09	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	344.54	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	182.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 85170, read from the public cost report file SNFFY1995.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
AHEARN, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2024
CURIS SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2024
GOLDWATER CARE MANAGEMENT LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/19/2025
PETERSEN SNF HOLDINGS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/19/2025
SPECTOR, JENNIFER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2024
STACHOWIAK, MELISSA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2024
STEWART, JASON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2024
TUROFSKY, STEVEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2024
TVERSKY, AARON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2024
WILHELM, NAFTALI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2024
SPECTOR, JENNIFER	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2024
BERKOWITZ, DAVID	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/29/2025
MEYSTEL, YOSEF	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/19/2025
STACHOWIAK, MELISSA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 12/01/2024
STEWART, JASON	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 12/01/2024
TVERSKY, AARON	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 12/01/2024
AHEARN, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2024
GOLDWATER CARE MANAGEMENT LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2024
SPECTOR, JENNIFER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2024
STEWART, JASON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2024
TUROFSKY, STEVEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2024
TVERSKY, AARON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2024
WILHELM, NAFTALI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2024
BERKOWITZ, DAVID	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of GOLDWATER CARE PEORIA HEIGHTS LLC (enrollment ID O20250429002424).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
AARON TVERSKY	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	35	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID A BERKOWITZ DELTA TRUST	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	5	12/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
MEIR KATZENSTEIN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	35	8/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
YOSEF MEYSTEL DELTA TRUST	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	25	12/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
AARON TVERSKY	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.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CURIS SERVICES 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.	12/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
GOLDWATER CARE MANAGEMENT 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.	3/19/2025	Private equity company: No Real estate investment trust: No Holding company: No
JASON STEWART	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.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JENNIFER SPECTOR	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.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MELISSA ANNE STACHOWIAK	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.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL AHEARN	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.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NAFTALI WILHELM	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.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PETERSEN SNF HOLDINGS 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.	3/19/2025	Private equity company: No Real estate investment trust: No Holding company: No
STEVEN TUROFSKY	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.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JENNIFER SPECTOR	Individual	CORPORATE DIRECTOR	100	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AARON TVERSKY	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JASON STEWART	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MELISSA ANNE STACHOWIAK	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AARON TVERSKY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GOLDWATER CARE MANAGEMENT LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
JASON STEWART	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JENNIFER SPECTOR	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL AHEARN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NAFTALI WILHELM	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEVEN TUROFSKY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID BERKOWITZ	Individual	TRUSTEE 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.	12/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: PETERSEN SNF HOLDINGS 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: JENNIFER SPECTOR 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: JENNIFER SPECTOR no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PETERSEN SNF HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: MARK B PETERSEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARK B PETERSEN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARK B PETERSEN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: LAURA TUTSKEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MELISSA ANNE STACHOWIAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MELISSA ANNE STACHOWIAK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CURIS SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NAFTALI WILHELM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NAFTALI WILHELM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MICHAEL AHEARN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MICHAEL AHEARN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GOLDWATER CARE MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GOLDWATER CARE MANAGEMENT LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: DAVID A BERKOWITZ DELTA TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: YOSEF MEYSTEL DELTA TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: DAVID A BERKOWITZ appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEVEN TUROFSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEVEN TUROFSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MEIR KATZENSTEIN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JASON STEWART appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JASON STEWART appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JASON STEWART appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: AARON TVERSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: AARON TVERSKY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: AARON TVERSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: AARON TVERSKY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PETERSEN SNF HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JENNIFER SPECTOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JENNIFER SPECTOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JENNIFER SPECTOR appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 April 2024: BENNY PERKINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: LAURA TUTSKEY appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv

Recent changes on this record

1 July 2026: PETERSEN SNF HOLDINGS 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: JENNIFER SPECTOR 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: JENNIFER SPECTOR no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PETERSEN SNF HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: MARK B PETERSEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARK B PETERSEN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARK B PETERSEN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: LAURA TUTSKEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MELISSA ANNE STACHOWIAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MELISSA ANNE STACHOWIAK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CURIS SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NAFTALI WILHELM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NAFTALI WILHELM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MICHAEL AHEARN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MICHAEL AHEARN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GOLDWATER CARE MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GOLDWATER CARE MANAGEMENT LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: DAVID A BERKOWITZ DELTA TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: YOSEF MEYSTEL DELTA TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: DAVID A BERKOWITZ appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEVEN TUROFSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEVEN TUROFSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MEIR KATZENSTEIN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JASON STEWART appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JASON STEWART appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JASON STEWART appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: AARON TVERSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: AARON TVERSKY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: AARON TVERSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: AARON TVERSKY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PETERSEN SNF HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JENNIFER SPECTOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JENNIFER SPECTOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JENNIFER SPECTOR appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: enrollment_id changed from O20130617000269 to O20250429002424. Skilled_Nursing_Facility_Enrollments_:_2025-12-01.csv
12 September 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	1 October 2024	1 October 2024	35	14
2	24 July 2023	24 July 2023	29	10
3	12 August 2022	12 August 2022	43	13

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

Deficiencies cited

107 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
17 June 2026	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	G	Yes	Past Non-Compliance	12 May 2026
17 June 2026	Health	F 0620	Resident Rights Deficiencies	Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.	D	Yes	Deficient, Provider has date of correction	19 June 2026
17 June 2026	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.	G	Yes	Deficient, Provider has date of correction	19 June 2026
27 May 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	Yes	Deficient, Provider has date of correction	10 June 2026
29 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.	E	Yes	Deficient, Provider has date of correction	30 April 2026
15 April 2026	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	16 April 2026
28 February 2026	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	Yes	Deficient, Provider has date of correction	2 March 2026
13 February 2026	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.	G	Yes	Deficient, Provider has date of correction	10 April 2026
13 February 2026	Health	F 0569	Resident Rights Deficiencies	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	D	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	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.	E	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	F	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	J	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	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	Yes	Deficient, Provider has date of correction	2 March 2026
13 February 2026	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	16 February 2026
13 February 2026	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.	J	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	G	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	F	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	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.	E	Yes	Deficient, Provider has date of correction	10 April 2026
13 February 2026	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	Health	F 0773	Administration Deficiencies	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.	D	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	Health	F 0777	Administration Deficiencies	Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.	D	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	Health	F 0835	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	L	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	F	Yes	Deficient, Provider has date of correction	16 February 2026
13 February 2026	Health	F 0944	Administration Deficiencies	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.	F	Yes	Deficient, Provider has date of correction	16 February 2026
7 December 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Deficient, Provider has date of correction	8 December 2025
7 December 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	8 December 2025
6 August 2025	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	F	Yes	Deficient, Provider has date of correction	7 August 2025
6 August 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	7 August 2025
7 December 2024	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	13 December 2024
1 October 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	E	No	Deficient, Provider has date of correction	25 October 2024
1 October 2024	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	25 October 2024
1 October 2024	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	F	No	Deficient, Provider has date of correction	25 October 2024
1 October 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	25 October 2024
1 October 2024	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	F	No	Deficient, Provider has date of correction	25 October 2024
11 July 2024	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	27 July 2024
18 May 2024	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	Yes	Deficient, Provider has date of correction	8 June 2024
18 May 2024	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	8 June 2024
18 May 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	E	Yes	Deficient, Provider has date of correction	8 June 2024
18 May 2024	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	8 June 2024
18 May 2024	Health	F 0825	Quality of Life and Care Deficiencies	Provide or get specialized rehabilitative services as required for a resident.	D	Yes	Deficient, Provider has date of correction	8 June 2024
24 April 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	Yes	Deficient, Provider has date of correction	10 May 2024
21 March 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	Yes	Deficient, Provider has date of correction	10 April 2024
21 March 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.	E	Yes	Deficient, Provider has date of correction	10 April 2024
21 March 2024	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	Yes	Deficient, Provider has date of correction	11 April 2024
21 March 2024	Health	F 0838	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	F	Yes	Deficient, Provider has date of correction	10 April 2024
27 February 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	G	Yes	Deficient, Provider has date of correction	12 April 2024
27 February 2024	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.	E	Yes	Deficient, Provider has date of correction	12 April 2024
27 February 2024	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	F	Yes	Deficient, Provider has date of correction	12 April 2024
27 February 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	Yes	Deficient, Provider has date of correction	12 April 2024
27 February 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	J	Yes	Deficient, Provider has date of correction	3 May 2024
6 January 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.	D	Yes	Deficient, Provider has date of correction	19 January 2024
6 January 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	19 January 2024
21 December 2023	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	Yes	Deficient, Provider has date of correction	13 February 2024
21 December 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	13 February 2024
21 December 2023	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	13 February 2024
21 December 2023	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	J	Yes	Deficient, Provider has date of correction	13 February 2024
21 December 2023	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.	J	Yes	Deficient, Provider has date of correction	22 February 2024
21 December 2023	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	Yes	Deficient, Provider has date of correction	13 February 2024
21 December 2023	Health	F 0835	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	F	Yes	Deficient, Provider has date of correction	13 February 2024
30 November 2023	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	Yes	Deficient, Provider has date of correction	17 December 2023
30 November 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	Yes	Deficient, Provider has date of correction	17 December 2023
30 November 2023	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.	E	Yes	Deficient, Provider has date of correction	17 December 2023
30 November 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	Yes	Deficient, Provider has date of correction	17 December 2023
31 October 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	22 November 2023
31 October 2023	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	Yes	Deficient, Provider has date of correction	22 November 2023
31 October 2023	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	Yes	Deficient, Provider has date of correction	22 November 2023
31 October 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	Yes	Deficient, Provider has date of correction	22 November 2023
24 July 2023	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	14 September 2023
24 July 2023	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	No	Deficient, Provider has date of correction	14 September 2023
24 July 2023	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	14 September 2023
24 July 2023	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0638	Resident Assessment and Care Planning Deficiencies	Assure that each resident’s assessment is updated at least once every 3 months.	D	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	14 September 2023
24 July 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	14 September 2023
24 July 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	F	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0680	Quality of Life and Care Deficiencies	Ensure the activities program is directed by a qualified professional.	F	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	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	30 August 2023
24 July 2023	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	14 September 2023
24 July 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	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.	E	No	Deficient, Provider has date of correction	14 September 2023
24 July 2023	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	F	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0835	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	F	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0837	Administration Deficiencies	Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.	F	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0847	Administration Deficiencies	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.	D	No	Deficient, Provider has date of correction	14 September 2023
24 July 2023	Health	F 0867	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	F	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	F	No	Deficient, Provider has date of correction	30 August 2023
24 July 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	30 August 2023
12 August 2022	Health	F 0553	Resident Rights Deficiencies	Allow resident to participate in the development and implementation of his or her person-centered plan of care.	E	No	Deficient, Provider has date of correction	26 August 2022
12 August 2022	Health	F 0557	Resident Rights Deficiencies	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	D	No	Deficient, Provider has date of correction	26 August 2022
12 August 2022	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	26 August 2022
12 August 2022	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	26 August 2022
12 August 2022	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	26 August 2022
12 August 2022	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	E	No	Deficient, Provider has date of correction	26 August 2022
12 August 2022	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	26 August 2022
12 August 2022	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	26 August 2022
12 August 2022	Health	F 0791	Quality of Life and Care Deficiencies	Provide or obtain dental services for each resident.	D	No	Deficient, Provider has date of correction	26 August 2022
12 August 2022	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	No	Deficient, Provider has date of correction	26 August 2022

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
13 February 2026	Fine	$346,525			139071
13 February 2026	Payment Denial		13 March 2026	34
30 November 2023	Fine	$181,422			69198
30 November 2023	Payment Denial		20 January 2024	111

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 - Corporation
Legal Business Name	GOLDWATER CARE PEORIA HEIGHTS LLC
Date First Approved to Provide Medicare and Medicaid Services	1972-02-02
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Peoria
Telephone Number	3096825428
Chain Name	GOLDWATER CARE
Chain ID	699
Special Focus Status	SFF Candidate
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	94
Average Number of Residents per Day	56.5
Overall Rating	1
Health Inspection Rating	1
QM Rating	3
Long-Stay QM Rating	3
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 July 2026: PETERSEN SNF HOLDINGS 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 GOLDWATER CARE PEORIA HEIGHTS

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