Skilled nursing facility · CMS certification number 145868
AVANTARA LONG GROVE
LONG GROVE, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 195
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 18 November 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,665,230 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,170,461 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,494,769 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,813,663 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$318,894 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $418,454 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $99,560 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $99,560 (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 | 195 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 71,370 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,370 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 44,692 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,775 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 60,837 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 134 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 173 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 308 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 258.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 197.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442574, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,557,147 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,613,566 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,943,581 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,727,492 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,783,911 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $737,504 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,046,407 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,046,407 (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 | 195 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,439 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 529 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 154.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391693, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,779,325 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $13,502,906 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,276,419 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,686,608 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,410,189 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $558,461 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$851,728 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$851,728 (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 | 195 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,881 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 479 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 151.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359904, 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 16 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $30,882,827 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $13,700,018 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,182,809 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,126,934 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$944,125 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,754,209 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $810,084 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $808,612 (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 | 195 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,936 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 395 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 256.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332407, 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 6 May 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,821,583 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,735,632 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,085,951 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,264,687 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,178,736 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,461,436 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $282,700 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $282,700 (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 | 195 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,773 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 433 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 205.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315445, 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 6 August 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,073,155 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,426,968 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,646,187 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,481,936 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $164,251 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,643 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $193,894 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $193,894 (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 | 195 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 63,210 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 568 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 356.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1262522, 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 26 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,209,818 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,968,193 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,241,625 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,512,577 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$270,952 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $221,520 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$49,432 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$49,432 (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 | 195 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,947 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 520 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 424.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238344, 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 22 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,545,307 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,555,224 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,990,083 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,568,928 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $421,155 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $51,317 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $472,472 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $472,472 (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 | 195 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,666 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 521 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 260.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209980, 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 28 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,958,307 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,450,901 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,507,406 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,578,092 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,929,314 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $55,517 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,984,831 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,984,831 (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 | 195 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 66,250 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 607 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 330.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171134, 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 8 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,118,580 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,597,266 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,521,314 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,716,867 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $804,447 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,816 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $813,263 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $813,263 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 61,431 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 493 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 181.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1140112, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 February 2014 to 31 December 2014 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 5 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,011,719 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,899,811 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,111,908 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,344,692 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$232,784 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,098 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$231,686 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$231,686 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,671 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 349 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 305.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106822, 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 23 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,199,580 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $12,199,580 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,909,477 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,709,897 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $71,114 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,638,783 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,638,783 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,838 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 452 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 163.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1072871, 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 18 April 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,887,259 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $13,887,259 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,442,489 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $444,770 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,520 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $470,290 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $470,290 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 59,615 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 497 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 173.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058083, 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 27 January 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,730,462 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $14,730,462 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,464,846 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $265,616 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $229,231 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $494,847 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $494,847 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,932 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 416 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 309.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1054506, 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 20 April 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,262,541 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,995,280 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $267,261 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,126 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $298,676 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $18,711 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,579 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 500 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 308.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 427955, 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 19 May 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,335,593 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,386,921 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,051,328 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,447 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $37,651 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,063,532 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 65,437 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 499 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 208.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 399804, 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 25 May 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,556,777 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,732,240 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$175,463 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,546 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $243,041 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$416,958 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,656 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 451 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 197.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 143.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 370470, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 May 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,053,462 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,351,534 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,701,928 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $210,533 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,912,461 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,345 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 476 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 241.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 130.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 339736, 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 with audit, processed by CMS on 22 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,360,036 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,279,341 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,080,695 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,370 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $85,826 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $996,239 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 65,127 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 523 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 194.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324765, 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, reopened, processed by CMS on 13 February 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,952,765 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,632,581 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $320,184 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,427 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $12,120 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $310,491 (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 | 184 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,239 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 466 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 197.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 135.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 272279, 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 3 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,771,987 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,310,873 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$538,886 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,357 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $26,364 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$561,893 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,780 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 505 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 188.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 229773, 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 1 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,495,014 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,272,290 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $222,724 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,192 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $22,689 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $208,227 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,258 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 375 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 363.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 168.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 192341, 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 30 July 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,449,217 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,308,666 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $140,551 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $202,437 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $342,988 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,341 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 295 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 332.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 189047, 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 26 August 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,028,582 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,978,458 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $50,124 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,415 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $112,528 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$48,989 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,902 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 245 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 343.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 203.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 158083, 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 15 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,570,532 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,593,104 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$22,572 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$19,572 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,832 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 198 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 314.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 246.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 86222, 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 9 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,273,821 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,127,708 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $146,113 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $100 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $30,990 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $115,223 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,483 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 244 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 348.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 198.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 86220, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 April 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,650,609 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,812,759 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$162,150 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,347 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$148,824 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,296 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 280 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 12.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 269.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 86218, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 31 March 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,948,371 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,055,358 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$106,987 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $107,275 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $288 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,185 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 200.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 86217, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 March 1996 to 31 December 1996 — a reporting period of 305 days, on form CMS-2540-96, settled, processed by CMS on 14 April 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,231,039 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,869,917 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,638,878 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$1,638,878 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,789 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 73.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 87.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 86215, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | since 01/01/2017 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | since 01/01/2017 |
| BUFFALO PROPERTY HOLDINGS, LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 01/01/2017 |
| LAKE FOREST BANK & TRUST COMPANY, N.A. | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 12/01/2024 |
| BUFFALO PROPERTY HOLDINGS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2017 |
| BURAU, EMILY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/08/2025 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2017 |
| GPN FAMILY TRUST U/A/D 4/28/08 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2017 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/08/2025 |
| PAPANOS, NICHOLAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/08/2025 |
| RSM US LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2025 |
| SHABAT, MENACHEM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2017 |
| SHABAT, MENACHEM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2017 |
| BURAU, EMILY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/16/2023 |
| LAKE FOREST BANK & TRUST COMPANY, N.A. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2017 |
| PAPANOS, NICHOLAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2017 |
| SHABAT, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2017 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LONG GROVE PAC LLC (enrollment ID O20140409000003).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| BUFFALO PROPERTY HOLDINGS, LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 1/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| LAKE FOREST BANK & TRUST COMPANY, N.A. | Organization | 5% OR GREATER SECURITY INTEREST | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| BUFFALO PROPERTY HOLDINGS, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| EMILY BURAU | 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. | 7/8/2025 | 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. |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/8/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2017 | 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. |
| NICHOLAS S PAPANOS | 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. | 7/8/2025 | 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. |
| RSM US LLP | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MENACHEM SHABAT | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2017 | 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. |
| EMILY BURAU | 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. | 10/16/2023 | 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. |
| LAKE FOREST BANK & TRUST COMPANY, N.A. | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 1/1/2017 | 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. |
| NICHOLAS S PAPANOS | 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. | 1/1/2017 | 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 March 2026: CHAIM Z RAJCHENBACH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MENACHEM SHABAT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LILY OSEI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: DOROS GENERATION TRUST U/A/D 1/3/12 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: EMILY BURAU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: EMILY BURAU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LAKE FOREST BANK & TRUST COMPANY, N.A. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LAKE FOREST BANK & TRUST COMPANY, N.A. appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: RSM US LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: BUFFALO PROPERTY HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: BUFFALO PROPERTY HOLDINGS, LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MENACHEM SHABAT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MENACHEM SHABAT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: NICHOLAS S PAPANOS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: NICHOLAS S PAPANOS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
Recent changes on this record
- 1 March 2026: CHAIM Z RAJCHENBACH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MENACHEM SHABAT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LILY OSEI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: DOROS GENERATION TRUST U/A/D 1/3/12 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: EMILY BURAU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: EMILY BURAU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LAKE FOREST BANK & TRUST COMPANY, N.A. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LAKE FOREST BANK & TRUST COMPANY, N.A. appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: RSM US LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: BUFFALO PROPERTY HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: BUFFALO PROPERTY HOLDINGS, LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MENACHEM SHABAT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MENACHEM SHABAT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: NICHOLAS S PAPANOS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: NICHOLAS S PAPANOS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 18 November 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 9 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 26 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 6 May 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 6 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 26 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 22 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 28 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 8 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 5 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 30 September 2014: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 23 July 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 18 April 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 27 January 2014: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 20 April 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 19 May 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 25 May 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 21 May 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 22 August 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 13 February 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 8 August 2024 | 8 August 2024 | 8 | 6 |
| 2 | 28 June 2023 | 28 June 2023 | 8 | 20 |
| 3 | 6 April 2022 | 6 April 2022 | 9 | 11 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
25 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 22 January 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 | 27 January 2025 |
| 8 August 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 19 August 2024 |
| 8 August 2024 | 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 | 19 August 2024 |
| 8 August 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | 19 August 2024 |
| 8 August 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 19 August 2024 |
| 8 August 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 19 August 2024 |
| 8 August 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 | 19 August 2024 |
| 8 August 2024 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | No | Deficient, Provider has date of correction | 19 August 2024 |
| 8 August 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 19 August 2024 |
| 14 May 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 15 May 2024 |
| 11 January 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | 25 January 2024 |
| 2 November 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 14 November 2023 |
| 28 June 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | 19 July 2023 |
| 28 June 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 | 19 July 2023 |
| 28 June 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 | 19 July 2023 |
| 28 June 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 19 July 2023 |
| 28 June 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 | 19 July 2023 |
| 28 June 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 19 July 2023 |
| 28 June 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 19 July 2023 |
| 6 April 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 20 April 2022 |
| 6 April 2022 | 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 | 20 April 2022 |
| 6 April 2022 | 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 | 20 April 2022 |
| 6 April 2022 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 20 April 2022 |
| 6 April 2022 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | No | Deficient, Provider has date of correction | 20 April 2022 |
| 6 April 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 20 April 2022 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | LONG GROVE PAC LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1996-03-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Lake |
| Telephone Number | 8474191111 |
| Chain Name | LEGACY HEALTHCARE |
| Chain ID | 306 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 195 |
| Average Number of Residents per Day | 176.6 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 March 2026: CHAIM Z RAJCHENBACH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for AVANTARA LONG GROVE
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.
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