Skilled nursing facility · CMS certification number 145712
PAVILION ON MAIN STREET, THE
SANDWICH, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 113
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 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,060,257 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,878,593 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,181,664 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,427,969 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$246,305 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $383 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$245,922 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$245,922 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 42,456 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,914 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 20,329 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,096 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 31,339 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 45 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 23 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 91 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 159 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 86.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 883.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 197.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433442, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 19 December 2022 to 31 December 2023 — a reporting period of 377 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,197,761 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,886,305 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,311,456 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,248,232 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$936,776 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $504,387 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$432,389 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$432,389 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,715 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 108.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 885.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 299.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395355, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 18 December 2022
Cost report for 1 January 2022 to 18 December 2022 — a reporting period of 351 days, on form CMS-2540-10, settled, processed by CMS on 11 October 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,173,814 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,173,814 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,083,128 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $90,686 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $90,686 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $90,686 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,458 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 234.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 174.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366382, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,263,482 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,263,482 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,030,911 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,232,571 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $2,232,571 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,232,571 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,407 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333547, 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 31 March 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,956,472 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,956,472 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,603,195 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $353,277 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $353,277 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $353,277 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,125 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 176 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 85.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 234.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 176.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313304, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 October 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,488,508 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,488,508 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,014,102 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$525,594 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$525,594 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$525,594 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,548 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 223 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189.8 | 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 1270387, 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 12 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,714,558 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,714,558 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,934,722 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$220,164 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$220,164 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$220,164 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,430 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 230 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 246.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240385, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,595,139 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $652,729 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,942,410 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,141,710 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$199,300 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $75,751 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$123,549 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$343,830 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,162 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 472 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 74.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203788, 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 20 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,254,631 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,007,298 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,247,333 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,360,875 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$113,542 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $368,417 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $254,875 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $254,875 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,046 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 450 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 84.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170175, 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 27 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,408,904 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,803,003 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,605,901 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,824,694 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$218,793 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $126,932 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$91,861 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$284,164 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,606 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 407 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 87.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138311, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,071,622 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,509,071 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,562,551 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,279,346 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $283,205 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $116,595 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $399,800 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $366,036 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,911 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 382 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 91.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105253, 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 25 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,865,494 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,640,627 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,224,867 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,571,472 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$346,605 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $221,400 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$125,205 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$125,205 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,395 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 377 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 96.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073656, 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 29 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,357,202 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,357,202 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,579,929 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $777,273 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $191,041 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $968,314 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $968,314 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,952 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 366 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 100.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077473, 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 19 April 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,104,063 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,104,063 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,188,435 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $915,628 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $116,191 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,031,819 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $930,265 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,952 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 353 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 101.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027756, 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 18 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,182,375 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,145,520 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $36,855 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $125,854 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $86,965 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $75,744 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,414 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 334 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 161.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422848, 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 12 January 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,277,507 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,299,623 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$22,116 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $61,305 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $98,327 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$59,138 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,810 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 288 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 178.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392481, 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 18 May 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,294,247 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,428,783 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$134,536 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $110,034 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $111,369 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$135,871 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,224 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 267 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 220.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 369846, 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 1 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,958,050 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,013,757 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$55,707 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $63,224 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $41,021 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$33,504 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,734 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 220 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 232.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322554, 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 27 July 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,702,472 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,683,480 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $18,992 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $73,849 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $14,892 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $77,949 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,574 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 181 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 302.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 163.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 290051, 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 8 August 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,526,287 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,389,330 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $136,957 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,353 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $149,310 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,319 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 215.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 260716, 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 15 July 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,609,339 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,314,454 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $294,885 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,788 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,623 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $322,050 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,128 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 300.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 177.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 227884, 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 22 July 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,164,229 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,017,513 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $146,716 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,551 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $380 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $155,887 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,679 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 355.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 201.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 188208, 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 8 June 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,089,986 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,066,061 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $23,925 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,153 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $46,078 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,362 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 261 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 195.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 180446, 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, as submitted, processed by CMS on 30 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,828,389 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,720,997 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $107,392 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,127 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,808 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $114,711 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,274 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 350.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 187.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 172361, 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 28 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,639,279 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,536,801 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $102,478 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $74,373 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $176,851 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,028 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.01 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 350.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 180.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85998, 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 7 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,293,097 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,257,095 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $36,002 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,252 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $48,254 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,074 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 326.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 234.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85996, read from the public cost report file SNFFY1999.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 3 May 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,616,873 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,289,113 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $327,760 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $327,760 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,793 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 173 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 335.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 224.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85994, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 12% | since 12/19/2022 |
| ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 9% | since 12/19/2022 |
| MCDONALD, NANCY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/22/2024 |
| ROBIN, JASON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2023 |
| GOLDSTEIN, SHIMON | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 07/01/2023 |
| GRAF, MARCELLA | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/19/2022 |
| GROSS, SHOSHANA | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 07/01/2023 |
| KROLL, GABRIEL | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 07/01/2023 |
| PROCTOR, KATHERINE | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 07/01/2023 |
| RIPSTEIN, KENNETH | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 07/01/2023 |
| STERN, TODD | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/10/2025 |
| AARON, JONATHAN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/19/2022 |
| AARON, JONATHAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/19/2022 |
| GRAF, MARCELLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/19/2022 |
| MCDONALD, NANCY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/22/2024 |
| ROBIN, JASON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PAVILION ON MAIN STREET LLC (enrollment ID O20230206001030).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| EMST LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 7/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12.11 | 12/19/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 9 | 12/19/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| JONATHAN H AARON REVOCABLE TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 23.5 | 7/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| STERN FAMILY INVESTMENT TR | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13.8 | 7/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| TODD A STERN 2015 IRRV INS TR | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13.81 | 7/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON ROBIN | 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. | 7/1/2023 | 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. |
| NANCY MCDONALD | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/22/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GABRIEL KROLL | Individual | DIRECT OWNERSHIP INTEREST | 2 | 7/1/2023 | 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. |
| KATHERINE A PROCTOR | Individual | DIRECT OWNERSHIP INTEREST | 1 | 7/1/2023 | 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. |
| KENNETH RIPSTEIN | Individual | DIRECT OWNERSHIP INTEREST | 4.78 | 7/1/2023 | 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. |
| MARCELLA GRAF | Individual | DIRECT OWNERSHIP INTEREST | 3 | 12/19/2022 | 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. |
| SHIMON GOLDSTEIN | Individual | DIRECT OWNERSHIP INTEREST | 1 | 7/1/2023 | 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. |
| SHOSHANA GROSS | Individual | DIRECT OWNERSHIP INTEREST | 1 | 7/1/2023 | 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. |
| JONATHAN AARON | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/19/2022 | 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. |
| JASON ROBIN | 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. | 7/1/2023 | 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. |
| JONATHAN AARON | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/19/2022 | 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. |
| MARCELLA GRAF | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/19/2022 | 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. |
| NANCY MCDONALD | 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. | 4/22/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 January 2026: RAPHAELA E STERN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KENNETH RIPSTEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JONATHAN AARON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARCELLA GRAF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARCELLA GRAF no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: TODD A STERN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: SHOSHANA GROSS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: SHIMON GOLDSTEIN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: NANCY MCDONALD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: NANCY MCDONALD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KATHERINE A PROCTOR appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KENNETH RIPSTEIN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JONATHAN AARON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JONATHAN AARON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: EMST LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JASON ROBIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JASON ROBIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: GABRIEL KROLL appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JONATHAN H AARON REVOCABLE TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARCELLA GRAF appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARCELLA GRAF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 17 July 2023: STEVEN E LEVY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: ESTHER MAUER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: MARSHALL A MAUER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: CHANA MAUER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: SHIMON GOLDSTEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: MAURICE I AARON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: PAMELA S INGOLD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: DYNAMIC HEALTH CARE CONSULTANTS INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: FRANCES MAUER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: FRED L AARON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: STERN FAMILY TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: RAPHAELA E STERN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: KENNETH RIPSTEIN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: JONATHAN AARON appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: TODD A. STERN 2015 IRREVOCABLE INSURANCE TRUST U/A/D 12/16/2015 appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: MARCELLA GRAF appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: MARCELLA GRAF appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: TODD A STERN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- 1 January 2026: RAPHAELA E STERN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KENNETH RIPSTEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JONATHAN AARON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARCELLA GRAF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARCELLA GRAF no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: TODD A STERN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: SHOSHANA GROSS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: SHIMON GOLDSTEIN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: NANCY MCDONALD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: NANCY MCDONALD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KATHERINE A PROCTOR appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KENNETH RIPSTEIN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JONATHAN AARON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JONATHAN AARON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: EMST LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JASON ROBIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JASON ROBIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: GABRIEL KROLL appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JONATHAN H AARON REVOCABLE TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARCELLA GRAF appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARCELLA GRAF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 20 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 11 October 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 17 July 2023: STEVEN E LEVY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: ESTHER MAUER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: MARSHALL A MAUER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: CHANA MAUER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: SHIMON GOLDSTEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: MAURICE I AARON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: PAMELA S INGOLD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: DYNAMIC HEALTH CARE CONSULTANTS INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: FRANCES MAUER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: FRED L AARON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: STERN FAMILY TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: RAPHAELA E STERN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: KENNETH RIPSTEIN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: JONATHAN AARON appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: TODD A. STERN 2015 IRREVOCABLE INSURANCE TRUST U/A/D 12/16/2015 appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 27 August 2025 | 30 October 2024 | 13 | 9 |
| 2 | 30 October 2024 | 28 September 2023 | 4 | 8 |
| 3 | 28 September 2023 | 28 July 2022 | 12 | 8 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
29 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 9 October 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 10 October 2025 |
| 18 September 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 | 26 September 2025 |
| 18 September 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 11 November 2025 |
| 27 August 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 23 September 2025 |
| 27 August 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 23 September 2025 |
| 27 August 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 23 September 2025 |
| 27 August 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | 23 September 2025 |
| 27 August 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | G | No | Deficient, Provider has date of correction | 23 September 2025 |
| 27 August 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 23 September 2025 |
| 27 August 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | No | Deficient, Provider has date of correction | 23 September 2025 |
| 27 August 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | 23 September 2025 |
| 27 August 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 23 September 2025 |
| 27 August 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 23 September 2025 |
| 23 July 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | 5 August 2025 |
| 23 July 2025 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Yes | Deficient, Provider has date of correction | 5 August 2025 |
| 30 October 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 11 November 2024 |
| 30 October 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 11 November 2024 |
| 26 June 2024 | 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 | Yes | Deficient, Provider has date of correction | 5 July 2024 |
| 28 September 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 23 October 2023 |
| 28 September 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 23 October 2023 |
| 28 September 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 23 October 2023 |
| 28 September 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | 23 October 2023 |
| 28 September 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 23 October 2023 |
| 28 September 2023 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | 23 October 2023 |
| 28 September 2023 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | No | Deficient, Provider has date of correction | 23 October 2023 |
| 28 September 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | 23 October 2023 |
| 28 September 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 3 November 2023 |
| 28 September 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 23 October 2023 |
| 28 September 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 23 October 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 27 August 2025 | Fine | $52,234 | 135586 | ||
| 27 August 2025 | Payment Denial | 24 September 2025 | 48 | ||
| 28 September 2023 | Fine | $41,649 | 68814 | ||
| 28 September 2023 | Payment Denial | 25 October 2023 | 9 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Individual |
| Legal Business Name | PAVILION ON MAIN STREET LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-03-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | De Kalb |
| Telephone Number | 8157868426 |
| Chain Name | PAVILION HEALTHCARE |
| Chain ID | 612 |
| 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 | 113 |
| Average Number of Residents per Day | 91.6 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on PAVILION ON MAIN STREET, THE: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 January 2026: RAPHAELA E STERN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for PAVILION ON MAIN STREET, THE
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 145712.