Skilled nursing facility · CMS certification number 145923
WARREN BARR NORTH SHORE
HIGHLAND PARK, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 215
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 12 March 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,488,086 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,921,830 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,566,256 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,301,157 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $265,099 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $114,911 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $380,010 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $380,010 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 78,690 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,733 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 41,224 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,953 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 53,910 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 184 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 414 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 72 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 670 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 99.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448477, 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 6 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,693,329 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,731,269 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,962,060 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,164,038 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,201,978 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $375,746 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$826,232 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$826,232 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,110 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 708 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 91.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1404746, 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 23 May 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,032,591 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,641,190 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,391,401 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,370,482 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $20,919 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,405,675 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,426,594 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,426,594 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,664 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 744 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 76.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1378966, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 October 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,459,040 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,332,106 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,126,934 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,839,484 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,712,550 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,432,300 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$280,250 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$280,250 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,043 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 644 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366270, 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 26 January 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,258,047 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,365,616 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,892,431 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,367,772 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,475,341 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,569,897 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$905,444 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$905,444 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,112 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 625 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 130.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340975, 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 20 May 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,432,296 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,637,451 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,794,845 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,453,079 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$658,234 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,572 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$621,662 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$621,662 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,149 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 845 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 265.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1284197, 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 24 October 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,739,853 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,403,753 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,336,100 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,548,383 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$212,283 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $218,579 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,296 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $6,296 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,790 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,046 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 81.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244825, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 May 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,107,510 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,382,198 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,725,312 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,852,837 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$127,525 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $67,033 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$60,492 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$108,411 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,844 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 860 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 281.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1225017, 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 25 October 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,384,538 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,175,055 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,209,483 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,140,182 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $69,301 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,812 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $94,113 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $94,113 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,702 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 987 | 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, all patients, in days | 51.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1213241, 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 2 March 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,465,028 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,958,616 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,506,412 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,980,056 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$473,644 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,998 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$468,646 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$477,538 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,276 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 866 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 114.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 49.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153715, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 July 2014 to 31 December 2014 — a reporting period of 183 days, not a full year, on form CMS-2540-10, reopened, processed by CMS on 10 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,189,372 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,915,762 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,273,610 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,648,257 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$374,647 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,098 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$371,549 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$371,549 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,389 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 304 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 181.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275606, 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 24 September 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,159,668 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,908,733 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,250,935 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,587,676 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $663,259 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,249 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $687,508 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $674,589 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,245 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 591 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1110725, 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 23 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,515,172 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,681,259 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,833,913 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,302,414 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,468,501 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,326 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,450,175 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,461,487 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,475 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 546 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 281.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1070897, 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 21 February 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,004,312 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,391,419 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,612,893 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,121,083 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $491,810 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,093 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $509,903 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $502,149 (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 | 215 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,118 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 518 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 308.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1025067, 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 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,170,879 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,981,884 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $188,995 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,621 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $18,782 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $184,834 (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 | 215 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,909 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 398 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 245.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 82.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433397, 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 20 October 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,788,928 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,589,657 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $199,271 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,352 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,159 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $202,464 (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 | 215 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,322 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 454 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 190.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 388734, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 20 December 2007 to 31 December 2008 — a reporting period of 377 days, on form CMS-2540-96, settled, processed by CMS on 2 March 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,391,609 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,160,493 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,768,884 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,082 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,619 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,748,421 (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 | 215 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,975 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 489 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 200.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 69.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364789, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 19 December 2007
Cost report for 1 January 2007 to 19 December 2007 — a reporting period of 352 days, on form CMS-2540-96, settled, processed by CMS on 18 September 2009.
None of these figures is carried on this report.
CMS report record 356899, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,446,952 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,441,111 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $5,841 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,773 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,750 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $27,864 (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 | 215 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,019 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 342 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 300.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 93.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303108, 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 21 December 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,469,881 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,465,373 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $4,508 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,061 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,129 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $21,440 (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 | 215 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,639 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 372 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 250.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 90.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 269436, 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 20 January 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,191,259 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,187,120 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $4,139 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,162 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,799 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $24,502 (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 | 215 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,139 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 378 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 270.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 85.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 240339, 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 30 November 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,661,113 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,211,918 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,550,805 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,223 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,619 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,530,201 (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 | 215 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,385 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 390 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 294.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 77.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 200819, 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 26 January 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,357,940 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,698,774 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,340,834 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,494 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,701 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$2,298,041 (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 | 215 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,852 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 374 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 157.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 58.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 167614, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 15 June 2001 to 31 December 2001 — a reporting period of 199 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,387,749 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,996,090 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,608,341 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,982 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,591,359 (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 | 215 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,443 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 68.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 56.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 138246, 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 26 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,612,340 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,936,016 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,323,676 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,142 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$3,282,534 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,384 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 217 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 70.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17337, 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 10 July 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,291,447 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,398,068 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$106,621 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52,862 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$53,759 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,771 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 237 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 66.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17335, 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 with audit, processed by CMS on 18 October 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,580,640 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,109,738 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,529,098 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,075 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,480,023 (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 | 215 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,253 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 342 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 35.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17333, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 10 March 1997 to 31 December 1997 — a reporting period of 296 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 21 July 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,252,492 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,310,523 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,058,031 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,403 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,051,628 (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 | 220 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 4,754 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 40.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17332, 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 |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 10% | since 01/01/2018 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 10% | since 01/01/2018 |
| RAJCHENBACH 2015 FAMILY TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 12% | since 01/01/2018 |
| RAJCHENBACH, CHAIM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 32% | since 01/01/2018 |
| SHABAT, MENACHEM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 32% | since 01/01/2018 |
| SHABAT, RONALD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 5% | since 01/01/2018 |
| HALF DAY PROPERTY HOLDINGS LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 07/01/2014 |
| LAKE FOREST BANK & TRUST COMPANY, N.A. | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 12/01/2024 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2014 |
| GPN FAMILY TRUST U/A/D 4/28/08 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2014 |
| HALF DAY PROPERTY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2014 |
| HERNANDEZ, HEBERTO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2014 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2014 |
| NINIO, ISAAC | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/24/2022 |
| RAJCHENBACH 2015 FAMILY TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2014 |
| RAJCHENBACH, CHAIM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2014 |
| RSM US LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2024 |
| SHABAT, MENACHEM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2014 |
| SHABAT, RONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2014 |
| RAJCHENBACH, CHAIM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2018 |
| SHABAT, MENACHEM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2018 |
| HERNANDEZ, HEBERTO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2014 |
| LAKE FOREST BANK & TRUST COMPANY, N.A. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2024 |
| NINIO, ISAAC | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/24/2022 |
| RAJCHENBACH, CHAIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2018 |
| SHABAT, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2018 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WARREN BARR NORTH SHORE LLC (enrollment ID O20140716001922).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CHAIM RAJCHENBACH | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31.65 | 1/1/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10 | 1/1/2018 | 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 | 10 | 1/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31.65 | 1/1/2018 | 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. |
| RAJCHENBACH 2015 FAMILY TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 11.65 | 1/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD SHABAT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5.05 | 1/1/2018 | 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. |
| HALF DAY PROPERTY HOLDINGS LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 7/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| LAKE FOREST BANK & TRUST COMPANY, N.A. | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAIM RAJCHENBACH | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2014 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| HALF DAY PROPERTY HOLDINGS LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEBERTO Z HERNANDEZ | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2014 | 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. |
| ISAAC NINIO | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/24/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2014 | 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. |
| RAJCHENBACH 2015 FAMILY 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. | 7/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD SHABAT | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2014 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RSM US LLP | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAIM RAJCHENBACH | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MENACHEM SHABAT | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2018 | 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. |
| CHAIM RAJCHENBACH | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2018 | 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. |
| HEBERTO Z HERNANDEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2014 | 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. |
| ISAAC NINIO | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/24/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LAKE FOREST BANK & TRUST COMPANY, N.A. | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: HEBERTO Z HERNANDEZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HEBERTO Z HERNANDEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HEBERTO Z HERNANDEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HEBERTO Z HERNANDEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 February 2026: MICHAEL KAPLAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RAJCHENBACH 2015 FAMILY TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: ISAAC NINIO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: ISAAC NINIO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DOROS GENERATION TRUST U/A/D 1/3/12 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: HALF DAY PROPERTY HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LAKE FOREST BANK & TRUST COMPANY, N.A. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LAKE FOREST BANK & TRUST COMPANY, N.A. appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RSM US LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: GPN FAM TR UA 04282008 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CHAIM Z RAJCHENBACH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CHAIM Z RAJCHENBACH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MENACHEM SHABAT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MENACHEM SHABAT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RONALD SHABAT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: HEBERTO Z HERNANDEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: HEBERTO Z HERNANDEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
Recent changes on this record
- 1 July 2026: HEBERTO Z HERNANDEZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HEBERTO Z HERNANDEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HEBERTO Z HERNANDEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HEBERTO Z HERNANDEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 12 March 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 February 2026: MICHAEL KAPLAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RAJCHENBACH 2015 FAMILY TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: ISAAC NINIO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: ISAAC NINIO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DOROS GENERATION TRUST U/A/D 1/3/12 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: HALF DAY PROPERTY HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LAKE FOREST BANK & TRUST COMPANY, N.A. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LAKE FOREST BANK & TRUST COMPANY, N.A. appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RSM US LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: GPN FAM TR UA 04282008 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CHAIM Z RAJCHENBACH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CHAIM Z RAJCHENBACH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MENACHEM SHABAT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MENACHEM SHABAT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RONALD SHABAT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: HEBERTO Z HERNANDEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: HEBERTO Z HERNANDEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 6 March 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 23 May 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 11 October 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 26 January 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 20 May 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 10 December 2020: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 24 October 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 23 May 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 25 October 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 2 March 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 30 September 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 24 September 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 23 July 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 21 February 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 26 October 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 20 October 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 2 March 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 20 August 2025 | 20 August 2025 | 7 | 9 |
| 2 | 9 October 2024 | 9 October 2024 | 10 | 5 |
| 3 | 8 November 2023 | 8 November 2023 | 12 | 22 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
29 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 20 August 2025 | Health | F 0659 | Resident Assessment and Care Planning Deficiencies | Provide care by qualified persons according to each resident's written plan of care. | D | No | Deficient, Provider has date of correction | 26 August 2025 |
| 20 August 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 26 August 2025 |
| 20 August 2025 | 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 | 26 August 2025 |
| 20 August 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 26 August 2025 |
| 20 August 2025 | Health | F 0691 | Quality of Life and Care Deficiencies | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 26 August 2025 |
| 20 August 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 26 August 2025 |
| 20 August 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 26 August 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. | D | Yes | Deficient, Provider has date of correction | 12 June 2025 |
| 26 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 | Yes | Deficient, Provider has date of correction | 27 November 2024 |
| 9 October 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 16 October 2024 |
| 9 October 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 | 16 October 2024 |
| 9 October 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 | No | Deficient, Provider has date of correction | 16 October 2024 |
| 9 October 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 16 October 2024 |
| 9 October 2024 | 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 | 16 October 2024 |
| 9 October 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 | 16 October 2024 |
| 9 October 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 16 October 2024 |
| 1 August 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 | 12 August 2024 |
| 25 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. | G | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 14 February 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 | 15 February 2024 |
| 24 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 | 25 January 2024 |
| 21 November 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Yes | Deficient, Provider has date of correction | 8 December 2023 |
| 8 November 2023 | 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 | 27 November 2023 |
| 8 November 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 | 27 November 2023 |
| 8 November 2023 | 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 | 27 November 2023 |
| 8 November 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 27 November 2023 |
| 8 November 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 | 27 November 2023 |
| 8 November 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 | 27 November 2023 |
| 26 September 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | 2 October 2023 |
| 6 September 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 19 September 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 |
|---|---|---|---|---|---|
| 3 June 2026 | Fine | $22,920 | 140368 | ||
| 1 August 2024 | Fine | $14,174 | 69944 | ||
| 25 March 2024 | Fine | $10,223 | 69935 |
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 | WARREN BARR NORTH SHORE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1997-03-10 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Lake |
| Telephone Number | 8472669266 |
| 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 | 215 |
| Average Number of Residents per Day | 152.1 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| 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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The citable document for WARREN BARR NORTH SHORE
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