Skilled nursing facility · CMS certification number 145893
HARMONY PALOS
PALOS HEIGHTS, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 130
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 7 May 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,773,747 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,974,532 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,799,215 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,433,211 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$633,996 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,740 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$630,256 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$630,256 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 47,580 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,235 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 25,818 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,799 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 34,852 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 93 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 51 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 248 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 392 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 506.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449588, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 February 2023 to 31 December 2023 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 3 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,778,812 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,405,104 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,373,708 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,124,478 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,750,770 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,560 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,714,210 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,714,210 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,588 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 545 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 96.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1425348, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 May 2022
Cost report for 1 June 2021 to 31 May 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,417,407 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,376,974 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,040,433 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,969,589 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,929,156 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $253,045 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,676,111 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,681,122 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,122 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 647 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 167.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 49.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372667, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 31 May 2021
Cost report for 1 June 2020 to 31 May 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 October 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,383,815 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,738,359 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,645,456 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,779,462 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,134,006 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $601,181 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,532,825 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,541,982 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,493 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 705 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 134.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 44.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335276, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 31 May 2020
Cost report for 1 June 2019 to 31 May 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,190,293 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,920,322 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,269,971 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,262,425 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$992,454 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $795,916 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$196,538 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$202,491 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,197 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 904 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 132.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314760, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 31 May 2019
Cost report for 1 June 2018 to 31 May 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,253,122 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,051,576 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,201,546 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,005,827 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,804,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,188 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,796,093 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,807,059 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,084 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 791 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 153 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277853, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 31 May 2018
Cost report for 1 June 2017 to 31 May 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,262,356 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,306,939 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,955,417 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,834,380 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,878,963 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,127 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,866,836 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,881,148 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,764 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 762 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 192.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251550, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 May 2017
Cost report for 1 June 2016 to 31 May 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,491,936 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,703,015 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,788,921 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,084,663 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,295,742 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,283 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,279,459 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,296,082 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,026 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 763 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 137.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214727, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 May 2016
Cost report for 1 June 2015 to 31 May 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 September 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,299,532 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,714,468 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,585,064 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,538,947 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,953,883 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,565 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,936,318 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,947,619 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,731 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 864 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 170.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 44.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175818, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 May 2015
Cost report for 1 June 2014 to 31 May 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,868,021 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,085,162 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,782,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,573,674 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$790,815 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,101 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$762,714 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$765,318 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,494 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 926 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 210.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145218, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 31 May 2014
Cost report for 1 June 2013 to 31 May 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 February 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,441,482 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,400,769 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,040,713 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,657,302 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$616,589 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,451 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$586,138 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$590,304 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,249 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 897 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 246.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118696, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 May 2013
Cost report for 1 June 2012 to 31 May 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 May 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,090,888 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,442,142 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,648,746 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,582,280 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$933,534 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,817 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$902,717 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$908,958 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,771 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 976 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 44.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1059235, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 May 2012
Cost report for 1 June 2011 to 31 May 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 September 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,750,816 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,534,978 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,215,838 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,433,327 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $782,511 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,167 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $818,678 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $805,627 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,756 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,093 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 146.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1048224, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 May 2011
Cost report for 1 June 2010 to 31 May 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $19,312,158 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,980,603 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,331,555 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,239 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,205 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $2,349,589 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,270 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,018 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 218.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 43.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433063, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 31 May 2010
Cost report for 1 June 2009 to 31 May 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 25 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,779,066 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,404,027 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,375,039 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,931 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,304 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $2,404,666 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,960 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,041 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 172.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 41.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423911, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 May 2009
Cost report for 1 June 2008 to 31 May 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 May 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,238,989 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,624,875 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,614,114 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,202 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,588 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $2,639,728 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,577 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,033 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 166.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 41.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 370739, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 31 May 2008
Cost report for 20 December 2007 to 31 May 2008 — a reporting period of 163 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 5 August 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,886,989 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,230,171 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $656,818 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,747 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,549 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $673,016 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,778 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 416 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 205.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 47.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353970, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 May 2007
Cost report for 1 June 2006 to 31 May 2007 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 29 October 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,271,239 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,044,796 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $226,443 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,735 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,315 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $259,863 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,611 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 805 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 392.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 51.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327465, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 31 May 2006
Cost report for 1 June 2005 to 31 May 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 August 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,936,889 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,773,911 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $162,978 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $33,315 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,212 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $191,081 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,105 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 750 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 252.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 54.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 290927, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 31 May 2005
Cost report for 1 June 2004 to 31 May 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 April 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,557,986 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,415,933 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $142,053 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,674 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,643 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $174,084 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,495 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 695 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 143.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 56.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247293, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 May 2004
Cost report for 1 June 2003 to 31 May 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 January 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,361,085 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,123,721 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $237,364 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,700 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,664 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $271,400 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,734 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 669 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 173.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 62.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205735, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 31 May 2003
Cost report for 1 June 2002 to 31 May 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,214,378 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,814,619 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,399,759 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,275 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,061 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,437,973 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,157 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 718 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 157.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 57.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 207244, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 31 May 2002
Cost report for 1 June 2001 to 31 May 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 June 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,685,366 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,734,712 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,950,654 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $55,738 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,899 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $2,001,493 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,624 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 685 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.99 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 247.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 60.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 180041, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 31 May 2001
Cost report for 1 June 2000 to 31 May 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,422,164 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,798,163 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,624,001 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,092 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$14,689 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,681,782 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,666 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 643 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 234.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 61.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 139815, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 31 May 2000
Cost report for 1 June 1999 to 31 May 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 2 November 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,901,036 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,631,931 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,269,105 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $44,225 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $39,208 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,274,122 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,569 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 718 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 220.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 56.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 25180, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 31 May 1999
Cost report for 1 June 1998 to 31 May 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 19 July 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,969,130 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,179,179 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $789,951 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,054 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$104,053 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $941,058 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,145 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 449 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 89.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 410890, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 31 May 1998
Cost report for 1 June 1997 to 31 May 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 12 April 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,598,133 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,414,717 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $183,416 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,997 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $213,413 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,986 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 506 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 79.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367204, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 31 May 1997
Cost report for 1 June 1996 to 31 May 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 22 October 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,680,306 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,263,595 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $416,711 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,720 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $437,431 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,073 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 375 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 66.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358186, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 26% | since 02/01/2023 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 60% | since 02/01/2023 |
| OAKWAY OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | since 02/01/2023 |
| SHABAT, MENACHEM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2023 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2023 |
| GRABEN, KATHERINE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PHW SKILLED NURSING FACILITY, LLC (enrollment ID O20230328002912).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25.5 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 59.5 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| OAKWAY OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | CORPORATE OFFICER | 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. | 2/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| KATHERINE GRABEN | Individual | W-2 MANAGING EMPLOYEE | 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. | 2/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 August 2023: ROBERT SHARON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: DAMIAN RODGERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: HCR III HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: HCR II HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: RAMI UBAYDI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: HCR IV HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: KATHRYN H HOOPS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: CATHY L MCBRIDE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: THOMAS R KILE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: MARTIN D ALLEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: DOROS GENERATION TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: OAKWAY OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: GPN FAMILY TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: KATHERINE GRABEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: MENACHEM SHABAT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Recent changes on this record
- 7 May 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 3 June 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 12 December 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 29 January 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 1 August 2023: ROBERT SHARON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: DAMIAN RODGERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: HCR III HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: HCR II HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: RAMI UBAYDI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: HCR IV HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: KATHRYN H HOOPS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: CATHY L MCBRIDE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: THOMAS R KILE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: MARTIN D ALLEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: DOROS GENERATION TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: OAKWAY OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: GPN FAMILY TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: KATHERINE GRABEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: MENACHEM SHABAT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 17 October 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 26 April 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 31 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 27 February 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 4 December 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 12 September 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 20 October 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 8 February 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 5 May 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 17 September 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 25 January 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 19 July 2011: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- 26 May 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 21 November 2024 | 21 November 2024 | 16 | 1 |
| 2 | 8 September 2023 | 8 September 2023 | 11 | 12 |
| 3 | 27 May 2022 | 27 May 2022 | 15 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
42 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 21 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 | 1 June 2026 |
| 8 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 | 20 May 2026 |
| 8 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 | 20 May 2026 |
| 3 April 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 | 8 April 2026 |
| 3 April 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 8 April 2026 |
| 8 March 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 11 March 2026 |
| 4 January 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 19 January 2026 |
| 4 January 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. | G | Yes | Deficient, Provider has date of correction | 19 January 2026 |
| 4 January 2026 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Yes | Deficient, Provider has date of correction | 19 January 2026 |
| 18 June 2025 | 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 | 19 June 2025 |
| 11 June 2025 | 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 | Yes | Deficient, Provider has date of correction | 16 June 2025 |
| 11 June 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 16 June 2025 |
| 24 April 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 7 May 2025 |
| 21 November 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 6 December 2024 |
| 21 November 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | 6 December 2024 |
| 21 November 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | 6 December 2024 |
| 21 November 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 | No | Deficient, Provider has date of correction | 6 December 2024 |
| 21 November 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 | 6 December 2024 |
| 21 November 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 | 6 December 2024 |
| 21 November 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 6 December 2024 |
| 27 September 2024 | 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 | Yes | Deficient, Provider has date of correction | 4 October 2024 |
| 11 March 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 16 March 2024 |
| 11 March 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | 16 March 2024 |
| 11 March 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 16 March 2024 |
| 8 September 2023 | 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 | 18 September 2023 |
| 8 September 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | 18 September 2023 |
| 8 September 2023 | 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 | 18 September 2023 |
| 8 September 2023 | 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. | E | No | Deficient, Provider has date of correction | 18 September 2023 |
| 8 September 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 18 September 2023 |
| 8 September 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 | 18 September 2023 |
| 8 September 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 18 September 2023 |
| 17 August 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | Yes | Deficient, Provider has date of correction | 1 September 2023 |
| 17 August 2023 | Health | F 0624 | Resident Rights Deficiencies | Prepare residents for a safe transfer or discharge from the nursing home. | D | Yes | Deficient, Provider has date of correction | 1 September 2023 |
| 17 August 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 | Yes | Deficient, Provider has date of correction | 1 September 2023 |
| 27 May 2022 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 22 June 2022 |
| 27 May 2022 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | 22 June 2022 |
| 27 May 2022 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 22 June 2022 |
| 27 May 2022 | 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 | 22 June 2022 |
| 27 May 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 22 June 2022 |
| 27 May 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 22 June 2022 |
| 27 May 2022 | 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. | D | No | Deficient, Provider has date of correction | 31 May 2022 |
| 27 May 2022 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | 22 June 2022 |
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 |
|---|---|---|---|---|---|
| 11 June 2025 | Fine | $15,516 | 70633 | ||
| 24 April 2025 | Fine | $10,358 | 135314 |
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 - Limited Liability company |
| Legal Business Name | PHW SKILLED NURSING FACILITY, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1996-06-12 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Cook |
| Telephone Number | 7083614555 |
| Chain Name | LEGACY HEALTHCARE |
| Chain ID | 306 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 130 |
| Average Number of Residents per Day | 98.8 |
| Overall Rating | 2 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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One email a day naming what moved on HARMONY PALOS: the field, the value before, the value after, and the date of the file that first showed it.
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On 7 May 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for HARMONY PALOS
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 145893.