Skilled nursing facility · CMS certification number 145885
Complete Care at the Boulevard
CHICAGO, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 156
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 26 March 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,886,432 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,886,432 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,777,132 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,890,700 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $161,601 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,729,099 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,729,099 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 57,096 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,829 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 39,195 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 373 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 41,397 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 50 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 5 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 783.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 498.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448785, 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 11 November 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,796,903 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,796,903 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,340,697 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,543,794 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $375,984 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,167,810 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,167,810 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,557 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 188 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 274.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 237.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442199, 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 11 April 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,859,664 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,859,664 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,241,659 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,381,995 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $240,582 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,141,413 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,141,413 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,352 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 209 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 229.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 193.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376239, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 29 June 2021 to 31 December 2021 — a reporting period of 185 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 3 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,280,430 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,280,430 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,212,273 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$931,843 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $136,718 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$795,125 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$795,125 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,157 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 164.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341689, 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 28 June 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,147,672 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $12,147,672 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,073,999 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$926,327 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,710,452 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,784,125 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,784,125 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,221 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 350 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 144.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1323257, 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 24 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,486,362 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,486,362 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,603,557 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$117,195 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,329 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$115,866 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$115,866 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,447 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 317 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 79.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 187.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305329, 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 14 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,821,976 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,821,976 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,998,741 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$176,765 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $206 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$176,559 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$176,559 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,137 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 361 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 182.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275991, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 April 2017 to 31 December 2017 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 1 May 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,586,095 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,097,306 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,488,789 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,115,594 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $373,195 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,661 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $379,856 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $379,856 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,896 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 260 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 323.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223520, 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 19 June 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,691,407 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $760,038 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,931,369 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,103,033 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $828,336 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $182,776 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,011,112 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,011,112 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,499 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 209 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 81.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 342.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 255.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1193556, 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 29 June 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,366,329 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,614,015 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,752,314 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,036,231 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$283,917 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,811 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$245,106 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$245,106 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,982 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 159 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 571.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 326.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1167194, 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 13 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,542,522 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,774,742 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,767,780 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,372,004 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$604,224 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $211,538 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$392,686 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$416,104 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,772 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 177 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 474.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 298.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148441, 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 20 January 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,712,913 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,438,858 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,274,055 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,962,296 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$688,241 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $486,284 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$201,957 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$439,145 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,488 | 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 | 66.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 146.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117042, 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 3 February 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,280,768 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,280,768 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,285,212 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,444 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $307,254 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $302,810 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $279,593 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,148 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 384 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 149.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085366, 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 5 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,750,811 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,750,811 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,879,741 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$128,930 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $71,474 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$57,456 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$57,456 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,195 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 332 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1045597, 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 1 June 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,245,772 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,122,110 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$876,338 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $311,818 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,310 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$577,830 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,013 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 332 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 161.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 132.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429937, 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 25 May 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,008,916 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,425,836 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$416,920 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $319,834 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $28,127 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$125,213 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,845 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 400 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 130.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 400358, 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 28 May 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,150,676 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,882,090 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$731,414 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $263,966 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20,112 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$487,560 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,708 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 453 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 121.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 96.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 371136, 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 28 May 2009.
None of these figures is carried on this report.
CMS report record 340730, 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 29 April 2008.
None of these figures is carried on this report.
CMS report record 307761, 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 16 November 2006.
None of these figures is carried on this report.
CMS report record 266558, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 9 March 2006.
None of these figures is carried on this report.
CMS report record 244727, 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 4 May 2005.
Net income, stated at moderate confidence: −$449,057 (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.
CMS report record 215861, 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 19 March 2004.
Net income, stated at moderate confidence: $52,663 (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.
CMS report record 171259, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.
Net income, stated at moderate confidence: $489,743 (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.
CMS report record 131112, 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 11 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,806,570 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,498,790 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $307,780 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,967 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $315,747 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,630 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 410 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 170.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 130.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 114630, 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 25 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,308,576 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,224,130 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $84,446 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,762 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $101,208 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,928 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 344 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 185.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 156.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17241, 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 1 August 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,951,289 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,083,618 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$132,329 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,664 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $776 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$72,441 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,774 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 426 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 202.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17239, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 December 1996 to 31 December 1997 — a reporting period of 395 days, on form CMS-2540-96, settled, processed by CMS on 23 February 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,984,503 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,856,939 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $127,564 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,132 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $135,696 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,172 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 453 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 198.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17238, 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 |
|---|---|---|---|---|
| NJ CHICAGO OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 06/29/2021 |
| LEVOVITZ, YITZCHOK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 12/01/2025 |
| PC CHICAGO TOPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2025 |
| SMS 2021 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2025 |
| DES CAPITAL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2025 |
| FORTNEY, DARNELL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/21/2024 |
| JAMES, BERONICA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/21/2024 |
| JRK INVESTMENTS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2025 |
| KHOSLA, KRISHDEEP | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/16/2026 |
| KLUGMAN, JACOB | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2025 |
| LEVOVITZ, YITZCHOK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2025 |
| PC CHICAGO TOPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2025 |
| PEACE CAPITAL HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2025 |
| SMS 2021 TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2025 |
| STERNBUCH, DANIEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2025 |
| STEIN, SHALOM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2025 |
| DES CAPITAL LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 12/01/2025 |
| JRK INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 12/01/2025 |
| KLUGMAN, JACOB | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/01/2025 |
| STERNBUCH, DANIEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/01/2025 |
| LEVOVITZ, YITZCHOK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/01/2025 |
| STEIN, SHALOM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/01/2025 |
| FORTNEY, DARNELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/21/2024 |
| JAMES, BERONICA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/21/2024 |
| KHOSLA, KRISHDEEP | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2005 |
| LEVOVITZ, YITZCHOK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2025 |
| STERNBUCH, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2025 |
| SMS 2021 TRUST | TRUSTEE OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2025 |
| STEIN, SHALOM | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2025 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MAYFIELD CARE AND REHABILITATION CENTER LLC (enrollment ID O20210916002827).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| NJ CHICAGO OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/29/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PC CHICAGO TOPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70.2 | 12/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PEACE CAPITAL HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70.2 | 12/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60.76 | 12/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| YITZCHOK MEIR LEVOVITZ | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20 | 12/1/2025 | 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. |
| BERONICA JAMES | 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. | 8/21/2024 | 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. |
| DANIEL STERNBUCH | 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. | 12/1/2025 | 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. |
| DARNELL FORTNEY | 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. | 5/21/2024 | 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. |
| DES CAPITAL 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. | 12/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JACOB KLUGMAN | 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. | 12/1/2025 | 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. |
| JRK INVESTMENTS 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. | 12/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| KRISHDEEP KHOSLA | 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. | 2/16/2026 | 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. |
| PC CHICAGO TOPCO 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. | 12/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PEACE CAPITAL 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. | 12/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SMS 2021 TRUST | 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. | 12/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| YITZCHOK MEIR LEVOVITZ | 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. | 12/1/2025 | 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. |
| 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. | 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. | 6/29/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| 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. | 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. | 2/16/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHALOM STEIN | Individual | CORPORATE DIRECTOR | 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. | 12/1/2025 | 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. |
| DANIEL STERNBUCH | Individual | INDIRECT OWNERSHIP INTEREST | 4.9 | 12/1/2025 | 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. |
| DES CAPITAL LLC | Organization | INDIRECT OWNERSHIP INTEREST | 4.9 | 12/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JACOB KLUGMAN | Individual | INDIRECT OWNERSHIP INTEREST | 4.9 | 12/1/2025 | 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. |
| JRK INVESTMENTS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 4.9 | 12/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SHALOM STEIN | 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. | 12/1/2025 | 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. |
| YITZCHOK MEIR LEVOVITZ | 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. | 12/1/2025 | 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. |
| BERONICA JAMES | 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. | 8/21/2024 | 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. |
| DANIEL STERNBUCH | 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. | 12/1/2025 | 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. |
| DARNELL FORTNEY | 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. | 5/21/2024 | 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. |
| KRISHDEEP KHOSLA | 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. | 10/1/2005 | 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. |
| YITZCHOK MEIR LEVOVITZ | 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. | 12/1/2025 | 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. |
| SHALOM STEIN | Individual | TRUSTEE 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. | 12/1/2025 | 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. |
| SMS 2021 TRUST | Organization | TRUSTEE 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. | 12/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: YOSEF HELLMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YOSEF HELLMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NISANEL YAAKOV SILVERBERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NISANEL YAAKOV SILVERBERG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NISANEL YAAKOV SILVERBERG no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NISANEL YAAKOV SILVERBERG no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHALOM STEIN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHALOM STEIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHALOM STEIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JRK INVESTMENTS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JRK INVESTMENTS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BERONICA JAMES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BERONICA JAMES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DES CAPITAL LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DES CAPITAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YITZCHOK MEIR LEVOVITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YITZCHOK MEIR LEVOVITZ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YITZCHOK MEIR LEVOVITZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YITZCHOK MEIR LEVOVITZ appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KRISHDEEP KHOSLA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KRISHDEEP KHOSLA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DARNELL FORTNEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DARNELL FORTNEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SMS 2021 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SMS 2021 TRUST appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SMS 2021 TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JACOB KLUGMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JACOB KLUGMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PC CHICAGO TOPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PC CHICAGO TOPCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DANIEL STERNBUCH appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DANIEL STERNBUCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DANIEL STERNBUCH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- 1 July 2026: YOSEF HELLMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YOSEF HELLMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NISANEL YAAKOV SILVERBERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NISANEL YAAKOV SILVERBERG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NISANEL YAAKOV SILVERBERG no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NISANEL YAAKOV SILVERBERG no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHALOM STEIN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHALOM STEIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHALOM STEIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JRK INVESTMENTS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JRK INVESTMENTS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BERONICA JAMES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BERONICA JAMES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DES CAPITAL LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DES CAPITAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YITZCHOK MEIR LEVOVITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YITZCHOK MEIR LEVOVITZ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YITZCHOK MEIR LEVOVITZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YITZCHOK MEIR LEVOVITZ appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KRISHDEEP KHOSLA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KRISHDEEP KHOSLA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DARNELL FORTNEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DARNELL FORTNEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SMS 2021 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SMS 2021 TRUST appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SMS 2021 TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JACOB KLUGMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JACOB KLUGMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PC CHICAGO TOPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PC CHICAGO TOPCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DANIEL STERNBUCH appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DANIEL STERNBUCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DANIEL STERNBUCH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 26 March 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 11 November 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 11 April 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 3 February 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 7 February 2025 | 7 February 2025 | 22 | 1 |
| 2 | 22 March 2024 | 22 March 2024 | 27 | 0 |
| 3 | 7 April 2023 | 7 April 2023 | 35 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
84 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 16 May 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 17 May 2026 |
| 4 May 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 16 May 2026 |
| 4 May 2026 | 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 | 16 May 2026 |
| 29 March 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 1 April 2026 |
| 29 March 2026 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Yes | Deficient, Provider has date of correction | 30 March 2026 |
| 29 March 2026 | 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 | Yes | Deficient, Provider has date of correction | 30 March 2026 |
| 25 September 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | 13 October 2025 |
| 22 July 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 8 August 2025 |
| 9 March 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | 25 March 2025 |
| 7 February 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 28 February 2025 |
| 7 February 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 28 February 2025 |
| 7 February 2025 | Health | F 0575 | Resident Rights Deficiencies | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | D | No | Deficient, Provider has date of correction | 28 February 2025 |
| 7 February 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 28 February 2025 |
| 7 February 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | E | No | Deficient, Provider has date of correction | 28 February 2025 |
| 7 February 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 28 February 2025 |
| 7 February 2025 | 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 | 28 February 2025 |
| 7 February 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. | E | No | Deficient, Provider has date of correction | 28 February 2025 |
| 7 February 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 | 28 February 2025 |
| 7 February 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 28 February 2025 |
| 7 February 2025 | 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. | D | No | Deficient, Provider has date of correction | 28 February 2025 |
| 7 February 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 | 28 February 2025 |
| 7 February 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 28 February 2025 |
| 7 February 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 | No | Deficient, Provider has date of correction | 28 February 2025 |
| 7 February 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | 28 February 2025 |
| 19 December 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 8 January 2025 |
| 9 December 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | 3 January 2025 |
| 9 December 2024 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | J | Yes | Deficient, Provider has date of correction | 3 January 2025 |
| 9 December 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 4 January 2025 |
| 9 December 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | 4 January 2025 |
| 9 December 2024 | 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. | E | Yes | Deficient, Provider has date of correction | 3 January 2025 |
| 25 October 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Yes | Deficient, Provider has date of correction | 5 November 2024 |
| 7 October 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 29 August 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 20 September 2024 |
| 22 March 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 | Yes | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 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 April 2024 |
| 22 March 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | 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 | Yes | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 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. | F | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | 19 April 2024 |
| 22 March 2024 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | No | Deficient, Provider has date of correction | 19 April 2024 |
| 14 March 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 5 April 2024 |
| 29 February 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | 15 March 2024 |
| 19 January 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | 6 February 2024 |
| 19 January 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 | 6 February 2024 |
| 19 January 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. | G | Yes | Deficient, Provider has date of correction | 6 February 2024 |
| 28 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. | G | Yes | Deficient, Provider has date of correction | 22 December 2023 |
| 11 September 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Yes | Deficient, Provider has date of correction | 22 September 2023 |
| 22 August 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | 8 September 2023 |
| 22 August 2023 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Yes | Deficient, Provider has date of correction | 8 September 2023 |
| 22 August 2023 | Health | F 0660 | Resident Assessment and Care Planning Deficiencies | Plan the resident's discharge to meet the resident's goals and needs. | D | Yes | Deficient, Provider has date of correction | 8 September 2023 |
| 6 August 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 20 August 2023 |
| 7 April 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | 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 | 23 April 2023 |
| 7 April 2023 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 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 | 23 April 2023 |
| 7 April 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0886 | Infection Control Deficiencies | Perform COVID19 testing on residents and staff. | F | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | No | Deficient, Provider has date of correction | 23 April 2023 |
| 7 April 2023 | Health | F 0888 | Infection Control Deficiencies | Ensure staff are vaccinated for COVID-19 | F | No | Deficient, Provider has date of correction | 23 April 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 |
|---|---|---|---|---|---|
| 25 September 2025 | Fine | $30,167 | 135135 | ||
| 7 February 2025 | Fine | $21,271 | 70402 | ||
| 9 December 2024 | Fine | $103,732 | 70235 | ||
| 9 December 2024 | Payment Denial | 2 January 2025 | 6 | ||
| 7 October 2024 | Payment Denial | 1 November 2024 | 4 | ||
| 29 February 2024 | Fine | $87,850 | 69493 | ||
| 29 February 2024 | Payment Denial | 23 March 2024 | 27 | ||
| 28 November 2023 | Fine | $57,042 | 69072 | ||
| 28 November 2023 | Payment Denial | 23 December 2023 | 45 |
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 - Corporation |
| Legal Business Name | MAYFIELD CARE AND REHABILITATION CENTER LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1996-12-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Cook |
| Telephone Number | 7732617074 |
| Chain Name | COMPLETE CARE |
| Chain ID | 157 |
| 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 | 156 |
| Average Number of Residents per Day | 123.7 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| 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.
Get an email when this record changes
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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 July 2026: YOSEF HELLMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Complete Care at the Boulevard
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 145885.