Skilled nursing facility · CMS certification number 145638
BELLA TERRA BLOOMINGDALE
BLOOMINGDALE, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 166
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 4 November 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,856,396 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,281,028 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,575,368 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,701,370 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$126,002 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $210,140 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $84,138 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $84,138 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 60,756 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,231 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 29,065 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,990 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 36,286 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 68 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 73 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 247 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 388 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 398.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441864, 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 5 November 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,633,811 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,271,088 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,362,723 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,565,348 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$202,625 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $763,830 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $561,205 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $561,205 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,015 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 545 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 92.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398619, 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 23 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,406,794 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,796,360 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,610,434 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,438,044 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $172,390 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $355,422 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $527,812 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $527,812 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,625 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 579 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 102.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372379, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 June 2021 to 31 December 2021 — a reporting period of 213 days, not a full year, on form CMS-2540-10, reopened, processed by CMS on 21 September 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,213,284 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,508,551 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,704,733 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,303,175 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$598,442 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $702,361 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $103,919 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $103,919 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,651 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 298 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 205.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365151, 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 27 May 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,857,663 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,012,781 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,844,882 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,140,892 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,296,010 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,230,748 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,065,262 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,065,262 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,311 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 384 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 371.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1317313, 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 15 April 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,483,526 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,842,943 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,640,583 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,733,988 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,093,405 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,262 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,074,143 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,074,143 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,355 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 438 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 931 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282458, 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 30 June 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,761,147 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,619,804 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,141,343 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,440,357 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,299,014 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $40,185 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,258,829 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,258,829 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,497 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 440 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 724.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1259164, 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 18 June 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,455,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,167,054 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,288,098 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,535,127 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,247,029 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$3,989 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,251,018 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,257,208 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,912 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 409 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 577.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1229403, 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 27 November 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,687,174 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,585,348 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,101,826 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,706,311 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$604,485 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $46,025 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$558,460 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$566,189 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,466 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 479 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 469.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214284, 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 1 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,002,493 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,853,736 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,148,757 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,420,091 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$271,334 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,078 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$243,256 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$250,136 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,068 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 413 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 450.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171555, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 October 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,318,905 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,803,732 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,515,173 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,812,993 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$297,820 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,986 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$265,834 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$269,430 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,474 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 347 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 466.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144898, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,992,884 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,434,959 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,557,925 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,251,163 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$693,238 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $103,066 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$590,172 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$590,172 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,409 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 330 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 638.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 155.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1090425, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 April 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,476,003 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,634,067 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,841,936 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,182,890 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $659,046 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $70,320 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $729,366 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $729,366 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,434 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,004.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 196.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088278, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 December 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,659,788 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,604,778 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,055,010 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,985,712 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $69,298 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,591 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $97,889 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $97,889 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,056 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 245 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,113.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 220.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1051543, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 May 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,722,742 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,113,843 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $608,899 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,741 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $271 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $638,369 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,420 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 251 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 961.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 212.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429641, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 June 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,656,675 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,780,830 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$124,155 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,198 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$56,957 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,606 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 271 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 621.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 190.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 401927, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 March 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,875,936 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,955,870 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$79,934 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $125,861 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $45,927 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,279 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 232 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 609.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 225.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 366521, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 May 2009.
None of these figures is carried on this report.
CMS report record 339845, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 June 2008.
None of these figures is carried on this report.
CMS report record 315218, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 March 2007.
None of these figures is carried on this report.
CMS report record 274944, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 10 November 2005.
None of these figures is carried on this report.
CMS report record 236527, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 March 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,168,969 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,876,054 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $292,915 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,111 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $339,026 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,860 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 359 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 312.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 138.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 212027, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 December 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,243,774 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,488,952 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$245,178 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,926 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$203,252 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,145 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 294 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 317.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 153.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 164941, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,319,236 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,464,937 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$145,701 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $57,959 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$87,742 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,881 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 228 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 351.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 205.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 129664, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 8 January 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,187,444 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,034,044 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $153,400 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,398 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $200,798 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,553 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 176 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 369.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 281.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16492, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,686,952 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,309,978 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $376,974 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,609 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $425,583 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,774 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 232 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 275.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 218.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16490, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 November 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,456,510 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,086,955 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $369,555 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,482 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $423,037 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,274 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 283 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 221.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 181.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16488, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 July 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,555,259 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,492,309 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $62,950 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,840 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $110,790 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,382 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 467 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 117.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 99.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16487, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,344,326 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,506,370 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$162,044 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $65,206 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$96,838 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,135 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 165 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 477.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 297.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 11467, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 17% | since 06/01/2021 |
| GARDEN, DANIEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 8% | since 06/01/2021 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 17% | since 06/01/2021 |
| NINIO, MORDECHAY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 59% | since 06/01/2021 |
| TBDMD IL, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/01/2021 |
| RANDON, DEBBIE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/01/2021 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BLOOMINGDALE SKILLED NURSING FACILITY LLC (enrollment ID O20210623003178).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DANIEL GARDEN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7.5 | 6/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17 | 6/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17 | 6/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| MORDECHAY NINIO | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 58.5 | 6/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TBDMD IL, 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. | 6/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| DANIEL GARDEN | Individual | OTHER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DEBBIE RANDON | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
No change in ownership appears in the CMS files on record since 20 September 2022.
Recent changes on this record
- 4 November 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 5 November 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 23 January 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 21 September 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 27 May 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 26 January 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 15 April 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 30 June 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 18 June 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 27 November 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 1 August 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 19 October 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 13 May 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 16 April 2015: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 4 December 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 30 May 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 3 June 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 24 March 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 21 May 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 18 June 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 15 March 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 10 November 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 23 March 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 10 December 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 13 February 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- 8 January 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- 24 September 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 27 November 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- 21 July 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- 21 October 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 28 February 2025 | 28 February 2025 | 10 | 5 |
| 2 | 20 March 2024 | 20 March 2024 | 15 | 5 |
| 3 | 26 April 2023 | 26 April 2023 | 18 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
43 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 11 June 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. | G | Yes | Deficient, Provider has date of correction | 26 June 2026 |
| 26 March 2026 | Health | F 0776 | Administration Deficiencies | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Yes | Deficient, Provider has date of correction | 3 April 2026 |
| 4 August 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 14 August 2025 |
| 15 July 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | |
| 22 May 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | 5 June 2025 |
| 22 May 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | Yes | Deficient, Provider has date of correction | 5 June 2025 |
| 22 May 2025 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Yes | Deficient, Provider has date of correction | 5 June 2025 |
| 28 February 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 11 March 2025 |
| 28 February 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 11 March 2025 |
| 28 February 2025 | 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 | 11 March 2025 |
| 28 February 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 11 March 2025 |
| 28 February 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 11 March 2025 |
| 28 February 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Yes | Deficient, Provider has date of correction | 11 March 2025 |
| 28 February 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 11 March 2025 |
| 18 December 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | 1 January 2025 |
| 21 October 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 21 October 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 | 30 October 2024 |
| 2 October 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 11 October 2024 |
| 2 October 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Yes | Deficient, Provider has date of correction | 11 October 2024 |
| 24 April 2024 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | 26 April 2024 |
| 20 March 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 3 April 2024 |
| 20 March 2024 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | 3 April 2024 |
| 20 March 2024 | 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 | 3 April 2024 |
| 20 March 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 3 April 2024 |
| 20 March 2024 | 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 | 3 April 2024 |
| 20 March 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 30 April 2024 |
| 9 November 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | 24 November 2023 |
| 1 November 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 | 15 November 2023 |
| 1 November 2023 | 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 | 15 November 2023 |
| 26 April 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 10 May 2023 |
| 26 April 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 16 May 2023 |
| 26 April 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 16 May 2023 |
| 26 April 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. | E | No | Deficient, Provider has date of correction | 10 May 2023 |
| 26 April 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. | G | No | Deficient, Provider has date of correction | 8 May 2023 |
| 26 April 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 | 16 May 2023 |
| 26 April 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 | 16 May 2023 |
| 26 April 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 | No | Deficient, Provider has date of correction | 8 May 2023 |
| 26 April 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 8 May 2023 |
| 26 April 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 | 8 May 2023 |
| 26 April 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | 8 May 2023 |
| 26 April 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 | 8 May 2023 |
| 26 April 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 19 June 2023 |
| 26 April 2023 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | No | Deficient, Provider has date of correction | 8 May 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 4 August 2025 | Fine | $10,358 | 137062 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | BLOOMINGDALE SKILLED NURSING FACILITY LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1989-07-13 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Du Page |
| Telephone Number | 6309808700 |
| Chain Name | LEGACY HEALTHCARE |
| Chain ID | 306 |
| 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 | 166 |
| Average Number of Residents per Day | 97.0 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-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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