Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 145689

PEARL OF ELK GROVE, THE

ELK GROVE VILLAGE, Illinois · Medicare and Medicaid

Certified beds, as filed in Care Compare: 190

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, as submitted, processed by CMS on 16 June 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$18,753,401CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$18,753,401CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,016,346CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$737,055CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$236,562CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$973,617CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $973,617 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components69,540CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days4,756CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days35,631CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days12,369CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components52,756CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges122CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges50CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges10CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components182CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days712.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days289.87CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1429934, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 February 2023 to 31 December 2023 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 24 December 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$15,794,633CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$15,794,633CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$16,813,976CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,019,343CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$260,348CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$758,995CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$758,995 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components47,363CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components335CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days281.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days141.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445521, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 May 2022

Cost report for 1 June 2021 to 31 May 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 February 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$19,141,133CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,977,575CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,163,558CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,948,176CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,784,618CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$326,680CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$4,457,938CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,467,242 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components44,317CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components774CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days155.21CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days57.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1374060, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended 31 May 2021

Cost report for 1 June 2020 to 31 May 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$20,683,572CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,437,095CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,246,477CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,598,164CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,351,687CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$418,280CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,933,407CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,942,067 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,651CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components814CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days137.51CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days52.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330243, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 31 May 2020

Cost report for 1 June 2019 to 31 May 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 31 March 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$23,891,189CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,799,205CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$17,091,984CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,870,474CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,778,490CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,090,340CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,688,150CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,701,613 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,223CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,043CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.95CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days134.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days48.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313303, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 31 May 2019

Cost report for 1 June 2018 to 31 May 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 September 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$32,361,666CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$10,966,841CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,394,825CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$22,202,493CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$807,668CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$27,186CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$780,482CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$805,290 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components59,751CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,354CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days140.41CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days44.13CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1269407, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended 31 May 2018

Cost report for 1 June 2017 to 31 May 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$33,637,026CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$11,764,262CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,872,764CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$23,933,622CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,060,858CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$29,142CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,031,716CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,062,645 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components58,737CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,385CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.03CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days123.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days42.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1253987, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended 31 May 2017

Cost report for 1 June 2016 to 31 May 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 February 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$35,639,645CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$12,758,610CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$22,881,035CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$23,731,453CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$850,418CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$28,612CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$821,806CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$846,650 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components60,973CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,379CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.92CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days127.31CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days44.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1220076, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended 31 May 2016

Cost report for 1 June 2015 to 31 May 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 31 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$34,918,092CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$12,233,708CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$22,684,384CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$23,010,829CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$326,445CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$34,320CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$292,125CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$319,917 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components61,472CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,322CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days133.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days46.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175446, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended 31 May 2015

Cost report for 1 June 2014 to 31 May 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$36,395,801CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$12,966,238CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$23,429,563CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$23,568,845CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$139,282CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$36,898CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$102,384CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$124,654 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components62,750CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,328CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days141.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days47.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1143441, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended 31 May 2014

Cost report for 1 June 2013 to 31 May 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 September 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$34,970,635CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$11,773,590CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$23,197,045CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$22,840,222CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$356,823CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$35,075CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$391,898CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $372,435 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components62,763CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,200CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days179.32CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days52.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1109904, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended 31 May 2013

Cost report for 1 June 2012 to 31 May 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 May 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$32,056,691CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$9,686,751CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$22,369,940CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$22,698,479CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$328,539CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$36,941CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$291,598CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$318,625 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components60,752CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,204CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.46CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days151.64CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days50.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1060326, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended 31 May 2012

Cost report for 1 June 2011 to 31 May 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$30,915,165CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,178,906CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$22,736,259CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$31,995,921CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$9,259,662CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$38,389CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$9,221,273CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$9,241,809 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components60,777CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,187CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days214.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days51.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1048865, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2011, ended 31 May 2011

Cost report for 1 June 2010 to 31 May 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 October 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$23,445,761CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$20,439,022CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$3,006,739CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$43,291CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$10,004CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $3,040,026 (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.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components64,683CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components1,175CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.34CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days312.65CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days55.05CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433473, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended 31 May 2010

Cost report for 1 June 2009 to 31 May 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 18 January 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$22,473,308CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$19,404,744CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$3,068,564CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$41,900CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$19,441CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $3,091,023 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components63,740CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components1,243CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.05CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days214.28CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days51.28CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 422802, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended 31 May 2009

Cost report for 1 June 2008 to 31 May 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 April 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$21,641,904CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$18,313,878CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$3,328,026CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$44,332CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$16,724CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $3,355,634 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components64,021CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components1,302CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.48CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days225.81CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days49.17CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 368448, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended 31 May 2008

Cost report for 20 December 2007 to 31 May 2008 — a reporting period of 163 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 13 October 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$9,299,845CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,383,854CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$915,991CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$23,801CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$2,832CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $936,960 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,762CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components532CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days357.05CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days54.06CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 357464, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 19 December 2007

Cost report for 1 June 2007 to 19 December 2007 — a reporting period of 201 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 10 September 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$10,461,028CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,509,910CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$48,882CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$22,750CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$7,965CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$34,097 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components36,333CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components687CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days249.21CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days52.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 356450, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 May 2006

Cost report for 1 June 2005 to 31 May 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 February 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$16,282,955CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$16,006,086CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$276,869CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$54,196CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$5,035CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $326,030 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components63,488CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components872CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days346.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days72.81CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 272100, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended 31 May 2005

Cost report for 1 June 2004 to 31 May 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 April 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$13,476,284CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$13,236,037CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$240,247CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$50,954CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$5,053CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $286,148 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,320CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components703CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.42CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days376.37CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days88.65CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 246809, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended 31 May 2004

Cost report for 1 June 2003 to 31 May 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 January 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$12,942,992CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,464,730CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,478,262CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$64,167CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$594CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $1,541,835 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components63,456CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components677CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days266.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days93.73CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 205734, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended 31 May 2003

Cost report for 1 June 2002 to 31 May 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
FigureAs filedWhere it comes from
Net patient revenue$12,175,123CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,171,267CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$2,003,856CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$86,963CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1,470CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $2,089,349 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components63,497CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components703CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.44CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days237.8CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days90.32CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 174606, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended 31 May 2002

Cost report for 1 June 2001 to 31 May 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 December 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$11,206,843CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,566,935CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,639,908CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$102,692CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$400CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $1,742,200 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components63,220CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components661CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days36.68CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days184.17CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days95.64CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 166237, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended 31 May 2001

Cost report for 1 June 2000 to 31 May 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$10,596,387CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,394,855CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,201,532CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$112,604CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$17,620CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $1,296,516 (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
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components64,404CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components766CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.54CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days193.59CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days84.08CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 139813, read from the public cost report file SNFFY2000.zip.

Fiscal year 2000, ended 31 May 2000

Cost report for 1 June 1999 to 31 May 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 November 2001.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$9,185,114CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,926,681CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,258,433CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$121,786CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$5,714CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $1,374,505 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components61,230CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components567CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.78CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days315.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days107.99CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 25162, read from the public cost report file SNFFY1999.zip.

Fiscal year 1999, ended 31 May 1999

Cost report for 1 June 1998 to 31 May 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 28 July 2011.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$8,508,425CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,555,696CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$952,729CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$172,079CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$179,997CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $944,811 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,574CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components265CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.02CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days236.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 413795, read from the public cost report file SNFFY1998.zip.

Fiscal year 1998, ended 31 May 1998

Cost report for 1 June 1997 to 31 May 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 9 March 2010.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$8,507,770CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,239,292CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,268,478CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$118,522CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,387,000 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,295CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components339CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days183.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 365123, read from the public cost report file SNFFY1997.zip.

Fiscal year 1997, ended 31 May 1997

Cost report for 1 June 1996 to 31 May 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 19 February 2010.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$7,877,630CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,570,081CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,307,549CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$102,362CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,409,911 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components60,549CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components300CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.26CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days201.83CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 364221, 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.

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 managerRoleTypeOwnership percentageAssociation
ELK GROVE HOLDING COMPANY, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 02/01/2023
BEN COHEN TRUST FBO JOANNA DAVISON5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization7%since 02/01/2023
BEN COHEN TRUST FBO JOHN C. DAVISON5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization7%since 02/01/2023
BEN COHEN TRUST FBO MARK EDWARD DAVISON5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization7%since 02/01/2023
AHMED, WAHAJCONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 02/01/2023
ZEFFREN, EITANCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/01/2023
WAHEED, MADIHAW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 02/01/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PEARL OF ELK GROVE LLC (enrollment ID O20230719004307).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ELK GROVE HOLDING COMPANY, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST99.992/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
BEN COHEN TRUST FBO JOANNA DAVISONOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST7.112/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
BEN COHEN TRUST FBO JOHN C. DAVISONOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST7.112/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
BEN COHEN TRUST FBO MARK EDWARD DAVISONOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST7.112/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
EITAN ZEFFRENIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST602/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EZ HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST602/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
REG 2018 IRREVOCABLE TRUST U/A/D 1/1/18Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST102/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
WAHAJ AHMEDIndividualCONTRACTED MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EITAN ZEFFRENIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MADIHA WAHEEDIndividualW-2 MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
119 December 202523 October 202479
223 October 202415 September 2023244
315 September 20233 August 2022239

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

Deficiencies cited

54 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
19 December 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction26 December 2025
19 December 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction26 December 2025
19 December 2025HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction26 December 2025
19 December 2025HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction26 December 2025
19 December 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction26 December 2025
19 December 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correction26 December 2025
19 December 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction26 December 2025
30 July 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correction5 August 2025
4 June 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correction16 June 2025
8 May 2025HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DYesDeficient, Provider has date of correction12 May 2025
1 April 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EYesDeficient, Provider has date of correction8 April 2025
15 January 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.EYesDeficient, Provider has date of correction21 January 2025
2 January 2025HealthF 0758Pharmacy Service DeficienciesImplement 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.GYesDeficient, Provider has date of correction10 January 2025
17 December 2024HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EYesDeficient, Provider has date of correction20 December 2024
8 November 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction14 November 2024
8 November 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction14 November 2024
8 November 2024HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correction14 November 2024
8 November 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.DYesDeficient, Provider has date of correction14 November 2024
23 October 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction10 December 2024
23 October 2024HealthF 0688Quality of Life and Care DeficienciesProvide 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.DNoDeficient, Provider has date of correction5 November 2024
23 October 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction10 December 2024
23 October 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correction5 November 2024
23 October 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correction10 December 2024
23 October 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction5 November 2024
26 September 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesDeficient, Provider has date of correction1 October 2024
26 September 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.LYesDeficient, Provider has date of correction1 October 2024
26 September 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correction1 October 2024
26 September 2024HealthF 0712Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.DYesDeficient, Provider has date of correction1 October 2024
20 August 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction22 August 2024
10 August 2024HealthF 0626Resident Rights DeficienciesPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DYesDeficient, Provider has date of correction22 August 2024
10 August 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction22 August 2024
11 July 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction24 July 2024
14 June 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction26 June 2024
14 June 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.GYesDeficient, Provider has date of correction26 June 2024
7 June 2024HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.FYesDeficient, Provider has date of correction21 June 2024
7 June 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correction21 June 2024
7 June 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction21 June 2024
7 June 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correction21 June 2024
7 June 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.HYesDeficient, Provider has date of correction23 June 2024
7 June 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.HYesDeficient, Provider has date of correction21 June 2024
26 March 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correction2 April 2024
19 December 2023HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.DYesDeficient, Provider has date of correction27 December 2023
19 December 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction27 December 2023
15 November 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correction22 November 2023
15 November 2023HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correction22 November 2023
1 October 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.EYesDeficient, Provider has date of correction4 October 2023
15 September 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction25 September 2023
15 September 2023HealthF 0676Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DNoDeficient, Provider has date of correction25 September 2023
15 September 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.ENoDeficient, Provider has date of correction25 September 2023
15 September 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction25 September 2023
15 September 2023HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DNoDeficient, Provider has date of correction25 September 2023
15 September 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction25 September 2023
15 September 2023HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correction25 September 2023
15 September 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction25 September 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
4 June 2025Fine$18,91570629
26 September 2024Fine$58,85270041
11 July 2024Fine$14,30770214
11 July 2024Payment Denial2 August 202420
7 June 2024Fine$42,22469823
26 March 2024Fine$9,83569577

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NamePEARL OF ELK GROVE LLC
Date First Approved to Provide Medicare and Medicaid Services1990-11-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishCook
Telephone Number8473010550
Chain NamePEARL HEALTHCARE
Chain ID595
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds190
Average Number of Residents per Day156.3
Overall Rating1
Health Inspection Rating1
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating3
Processing Date2026-08-01

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

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On 1 July 2026: EZ HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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