Skilled nursing facility · CMS certification number 145701
BELLA TERRA STREAMWOOD
STREAMWOOD, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 214
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 31 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,881,769 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,479,121 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,402,648 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,641,895 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $760,753 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,473 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $768,226 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $768,226 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 78,324 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,233 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 34,868 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,060 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 47,161 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 91 | 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 | 411 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 477.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441777, 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 29 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,236,853 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,967,119 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,269,734 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,957,632 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $312,102 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $233,855 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $545,957 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $545,957 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,030 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 586 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 360.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398253, 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 24 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,868,099 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,644,791 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,223,308 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,707,596 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$484,288 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $280,748 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$203,540 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$203,540 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,880 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 537 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 84.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372493, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,126,118 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,570,308 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,555,810 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,985,595 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,429,785 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,697,236 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $267,451 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $267,451 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,643 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 357 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342035, 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 13 January 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,871,079 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,414,816 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,456,263 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,144,452 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$688,189 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,577,816 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $889,627 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $888,850 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,743 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 485 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 108.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308736, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 September 2019 to 31 December 2019 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 15 October 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,886,116 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,537,216 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,348,900 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,370,949 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$22,049 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $209 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$21,840 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$21,840 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,883 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1271532, 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 13 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,356,095 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,813,359 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,542,736 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,007,422 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,464,686 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,370 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,437,316 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,437,316 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,277 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 365 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 739.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250899, 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 17 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,004,857 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,982,211 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,022,646 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,485,424 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,462,778 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,412 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,438,366 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,438,366 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,606 | 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 | 29.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 994.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222553, 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 5 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $30,291,770 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,777,600 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,514,170 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,440,064 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,925,894 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,010 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,897,884 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,897,884 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,328 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 511 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 480.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214888, 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 15 November 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $30,730,921 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,777,015 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,953,906 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,585,654 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,631,748 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,393 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,603,355 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,603,355 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 61,071 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 511 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 182.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178407, 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 9 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,082,706 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,556,280 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,526,426 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,244,545 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,718,119 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,271 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,688,848 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,688,848 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 63,361 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 459 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 297.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148085, 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 15 October 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,238,444 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,085,214 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,153,230 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,861,930 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,708,700 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $97,074 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,611,626 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,611,626 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,650 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 374 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 472.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111447, 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 20 November 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,639,458 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,247,206 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,392,252 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,511,899 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,119,647 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,548 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,078,099 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,078,099 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 65,189 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 299 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,281.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 218.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080624, 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 20 December 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,803,966 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,992,717 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,811,249 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,892,811 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,081,562 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,543 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,029,019 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,029,019 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 66,395 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 302 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,391.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 219.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1053079, 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 14 June 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,417,052 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,427,741 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,010,689 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,054 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$974,635 (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 | 214 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,088 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 337 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,214.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 199.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430411, 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 14 June 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,976,330 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,612,279 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,635,949 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $102,393 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,533,556 (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 | 214 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,623 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 564 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 183.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 111.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 404046, 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 1 March 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,746,340 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,959,429 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,213,089 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $127,621 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,085,468 (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 | 214 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,642 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 563 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 225.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364738, 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 15 June 2009.
None of these figures is carried on this report.
CMS report record 344423, 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 315226, 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 28 March 2007.
None of these figures is carried on this report.
CMS report record 275967, 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 9 March 2006.
None of these figures is carried on this report.
CMS report record 244717, 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 16 March 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,001,344 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,203,278 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,201,934 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,375 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,156,559 (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 | 224 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,328 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 387 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 429.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 155.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 211131, 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 22 January 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,326,758 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,961,299 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$634,541 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,563 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$566,978 (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 | 224 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,016 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 428 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 296.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 149.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 166576, 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 5 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,583,864 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,642,339 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$58,475 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $94,655 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $36,180 (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 | 224 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,842 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 407 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 295.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 142622, 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 17 January 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,145,714 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,682,420 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $463,294 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,348 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $561,642 (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 | 224 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,181 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 295 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 299.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 231.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16719, 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 | $8,887,454 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,985,020 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $902,434 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $84,163 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $986,597 (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 | 224 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,915 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 282 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 374.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 258.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16717, 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, reopened, processed by CMS on 14 December 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,192,029 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,891,705 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $300,324 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,575 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $350,899 (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 | 224 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,359 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 217 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 693.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 324.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202399, 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 | $7,422,633 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,365,138 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $57,495 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $74,401 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $131,896 (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 | 224 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,293 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 967 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 91.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16714, 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, as submitted, processed by CMS on 11 September 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,568,379 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,994,909 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $573,470 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $99,625 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $673,095 (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 | 224 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,888 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 223 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 796.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 326.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 11522, 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 | 43% | since 12/27/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 43% | since 12/27/2019 |
| OAKWAY OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | since 12/27/2019 |
| BOKF,NA | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 03/04/2024 |
| STREAMWOOD PROPERTY HOLDINGS, LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 09/01/2019 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2019 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/12/2025 |
| RANDON, DEBBIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/12/2022 |
| ROTH & CO, LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2024 |
| SHABAT, MENACHEM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2019 |
| SOOD, RAJIV | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2019 |
| STREAMWOOD PROPERTY HOLDINGS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2019 |
| SHABAT, MENACHEM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/01/2019 |
| BOKF,NA | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/04/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2019 |
| RANDON, DEBBIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/12/2022 |
| SHABAT, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2019 |
| SOOD, RAJIV | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2019 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of STREAMWOOD SKILLED NURSING FACILITY, LLC (enrollment ID O20191001000454).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 42.5 | 12/27/2019 | 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 | 42.5 | 12/27/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| OAKWAY OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 12/27/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| BOKF,NA | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 3/4/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| STREAMWOOD PROPERTY HOLDINGS, LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| DEBBIE RANDON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/12/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2019 | 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. |
| RAJIV K SOOD | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2019 | 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. |
| ROTH & CO, LLP | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| STREAMWOOD PROPERTY HOLDINGS, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2019 | 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. |
| 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. | Individual | INDIRECT OWNERSHIP INTEREST | 4.9 | 9/1/2019 | 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. |
| 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. | Individual | INDIRECT OWNERSHIP INTEREST | 2.6 | 9/1/2019 | 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. |
| 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. | Individual | INDIRECT OWNERSHIP INTEREST | 4.9 | 9/1/2019 | 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. |
| 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. | Individual | INDIRECT OWNERSHIP INTEREST | 2.6 | 9/1/2019 | 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. |
| MENACHEM SHABAT | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2019 | 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. |
| BOKF,NA | 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. | 3/4/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| DEBBIE RANDON | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/12/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LEGACY HEALTHCARE FINANCIAL SERVICES 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. | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2019 | 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. |
| RAJIV K SOOD | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: BOKF,NA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BOKF,NA no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BOKF,NA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BOKF,NA appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2026: FORBRIGHT BANK no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MENACHEM SHABAT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DEBBIE RANDON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DEBBIE RANDON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DOROS GENERATION TRUST U/A/D 1/3/12 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: OAKWAY OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: GPN FAM TR UA 04282008 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: STREAMWOOD PROPERTY HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: STREAMWOOD PROPERTY HOLDINGS, LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ROTH & CO, LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MENACHEM SHABAT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MENACHEM SHABAT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: RAJIV K SOOD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: RAJIV K SOOD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BOKF,NA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BOKF,NA appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Recent changes on this record
- 1 July 2026: BOKF,NA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BOKF,NA no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BOKF,NA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BOKF,NA appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2026: FORBRIGHT BANK no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MENACHEM SHABAT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DEBBIE RANDON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DEBBIE RANDON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DOROS GENERATION TRUST U/A/D 1/3/12 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: OAKWAY OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: GPN FAM TR UA 04282008 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: STREAMWOOD PROPERTY HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: STREAMWOOD PROPERTY HOLDINGS, LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ROTH & CO, LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MENACHEM SHABAT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MENACHEM SHABAT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: RAJIV K SOOD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: RAJIV K SOOD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BOKF,NA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BOKF,NA appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 31 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 29 October 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 24 January 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 9 February 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 13 January 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 15 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 14 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 13 February 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 17 April 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 5 December 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 15 November 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 9 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 15 October 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 20 November 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 20 December 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 20 March 2025 | 20 March 2025 | 3 | 23 |
| 2 | 4 April 2024 | 4 April 2024 | 4 | 13 |
| 3 | 4 November 2022 | 4 November 2022 | 9 | 11 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
16 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 20 December 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 7 January 2026 |
| 5 December 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 15 December 2025 |
| 20 March 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 3 April 2025 |
| 20 March 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 | 3 April 2025 |
| 10 January 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 17 January 2025 |
| 21 September 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Yes | Deficient, Provider has date of correction | 27 September 2024 |
| 4 April 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 15 April 2024 |
| 4 November 2022 | 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 | 14 November 2022 |
| 4 November 2022 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 14 November 2022 |
| 4 November 2022 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | No | Deficient, Provider has date of correction | 14 November 2022 |
| 4 November 2022 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 14 November 2022 |
| 4 November 2022 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | 14 November 2022 |
| 4 November 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | 14 November 2022 |
| 4 November 2022 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 14 November 2022 |
| 4 November 2022 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 14 November 2022 |
| 4 November 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 14 November 2022 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | STREAMWOOD SKILLED NURSING FACILITY, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-08-28 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Cook |
| Telephone Number | 6308375300 |
| 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 | 214 |
| Average Number of Residents per Day | 128.8 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 3 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 July 2026: BOKF,NA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for BELLA TERRA STREAMWOOD
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Illinois at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 145701.