Skilled nursing facility · CMS certification number 145930

GOLDWATER PONTIAC NURSING HOME

PONTIAC, Illinois · Medicare and Medicaid

Certified beds, as filed in Care Compare: 90

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 11 September 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,977,625	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,075,283	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,902,342	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,697,746	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,204,596	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$268,411	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,473,007	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,473,007 (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%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	32,940	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,055	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	9,517	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	19,339	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	30,911	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	44	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	31	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	104	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	179	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	307	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	172.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438821, 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 7 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$10,188,600	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,852,188	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,336,412	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,529,935	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$193,523	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$284,118	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$90,595	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $90,595 (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%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,152	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	175	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	184.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	166.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391314, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 October 2022 to 31 December 2022 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$2,353,376	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$322,265	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,031,111	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,881,010	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$150,101	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$28,634	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$178,735	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $178,735 (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%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	4,921	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	55	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	319.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	89.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359740, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,654,542	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$6,654,542	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,085,808	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$431,266	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$334,139	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$97,127	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$97,127 (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%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,084	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	51	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	472.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331810, 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 16 September 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,652,565	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$6,652,565	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,921,874	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$269,309	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$828,289	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$558,980	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $558,980 (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%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,005	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	72	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	361.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331036, 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 27 August 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$4,428,167	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,428,167	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,852,019	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,423,852	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$26,946	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,396,906	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,396,906 (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%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,600	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	61	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	304.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1296889, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 September 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$5,027,877	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,040,476	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,987,401	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,354,376	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$366,975	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$77,900	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$289,075	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$289,075 (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%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,188	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	84	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,328	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	228.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1243832, 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 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$1,747,172	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$320,084	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,427,088	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,369,334	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$942,246	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$109,734	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$832,512	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$832,512 (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%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	7,636	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	33	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	231.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209794, 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 8 September 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,389,229	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$841,050	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,548,179	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,543,668	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$13,995,489	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$38,151	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$13,957,338	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$13,957,338 (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%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	5,647	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	16	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	84.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	718.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	352.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175495, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$855,937	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$855,937	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,198,196	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,342,259	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,253	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,339,006	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,339,006 (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%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	5,584	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	20	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	780.2	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	279.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142842, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 October 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$2,238,132	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,148,521	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,089,611	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,639,735	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$550,124	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$264,459	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$285,665	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$285,665 (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%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,149	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	16	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	509.31	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1144651, 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 July 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$3,057,510	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,472,321	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,585,189	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,747,927	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$162,738	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,816	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$143,922	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$143,922 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,535	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	32	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	329.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1103499, 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 27 April 2015.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$3,310,770	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,138,864	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,171,906	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,937,543	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$765,637	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$93,729	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$671,908	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$671,908 (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%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,277	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	43	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,553.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	355.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1089193, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 August 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$3,955,941	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,262,807	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,693,134	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,181,000	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$487,866	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,062	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$473,804	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$473,804 (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%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,378	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	101	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	142.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1045598, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 March 2010 to 31 December 2010 — a reporting period of 305 days, on form CMS-2540-96, settled, processed by CMS on 20 September 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$1,902,122	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,230,477	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$328,355	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$90,391	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,556	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$239,520 (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.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	12,167	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	92	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.86	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	223.64	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	132.25	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 432320, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 November 2009

Cost report for 1 December 2008 to 30 November 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 April 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,280,433	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,912,965	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,632,532	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,062,080	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$570,452 (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.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	5,146	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	43	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	388.78	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	119.67	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 397813, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 30 November 2008

Cost report for 1 December 2007 to 30 November 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 March 2010.

None of these figures is carried on this report.

CMS report record 366044, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 30 November 2007

Cost report for 1 December 2006 to 30 November 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 May 2009.

None of these figures is carried on this report.

CMS report record 339849, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 30 November 2006

Cost report for 1 December 2005 to 30 November 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 April 2008.

None of these figures is carried on this report.

CMS report record 306189, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 30 November 2005

Cost report for 1 December 2004 to 30 November 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 November 2006.

None of these figures is carried on this report.

CMS report record 266576, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 30 November 2004

Cost report for 1 December 2003 to 30 November 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 March 2006.

None of these figures is carried on this report.

CMS report record 246209, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 30 November 2003

Cost report for 1 December 2002 to 30 November 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 March 2005.

Net income, stated at moderate confidence: $78,581 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 209238, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 30 November 2002

Cost report for 1 December 2001 to 30 November 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 November 2003.

Net income, stated at moderate confidence: $141,282 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 163611, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 30 November 2001

Cost report for 1 December 2000 to 30 November 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.

None of these figures is carried on this report.

CMS report record 126122, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 30 November 2000

Cost report for 1 December 1999 to 30 November 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 23 May 2001.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$4,038,236	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,154,649	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$116,413	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$109,643	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$6,770 (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.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,651	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	129	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	91.91	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	358.6	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	322.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 17359, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 30 November 1999

Cost report for 1 December 1998 to 30 November 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 20 July 2000.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$3,334,943	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,890,432	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$555,489	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$112,900	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$442,589 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,888	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	171	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	81.36	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	350.66	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	244.96	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 17358, read from the public cost report file SNFFY1999.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.

The staffing record →

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
1225 S EWING DRIVE, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/28/2025
CURIS SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2022
DEVAULT, DIANA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
GOLDWATER CARE MANAGEMENT LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/28/2025
KATZENSTEIN, MEIR	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
MAYS, ERIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
SPECTOR, JENNIFER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
STACHOWIAK, MELISSA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
TVERSKY, AARON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
WILHELM, NAFTALI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2022
ZAFAR, MUHAMMAD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
KATZENSTEIN, MEIR	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2022
SPECTOR, JENNIFER	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2022
TVERSKY, AARON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2022
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2022
BERKOWITZ, DAVID	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/23/2025
MEYSTEL, YOSEF	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/23/2025
DEVAULT, DIANA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2022
STACHOWIAK, MELISSA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2022
DEVAULT, DIANA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2022
GOLDWATER CARE MANAGEMENT LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2022
KATZENSTEIN, MEIR	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2022
MAYS, ERIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2022
SPECTOR, JENNIFER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2022
TUROFSKY, STEVEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2022
TVERSKY, AARON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2022
WILHELM, NAFTALI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2022
ZAFAR, MUHAMMAD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of GOLDWATER PONTIAC NURSING HOME LLC (enrollment ID O20221110000789).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
MEIR KATZENSTEIN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	55	10/1/2022	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.
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	22.5	10/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
1225 S EWING DRIVE, 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.	3/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
AARON TVERSKY	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.	10/1/2022	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.
CURIS 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.	10/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
DIANA DEVAULT	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.	10/1/2022	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.
ERIN MAYS	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.	10/1/2022	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.
GOLDWATER CARE MANAGEMENT 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.	3/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
JENNIFER SPECTOR	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.	10/1/2022	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.
MEIR KATZENSTEIN	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.	10/1/2022	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.
MELISSA ANNE STACHOWIAK	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.	10/1/2022	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.
MUHAMMAD ZAFAR	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.	10/1/2022	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.
NAFTALI WILHELM	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.	10/1/2022	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.
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE	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.	10/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
AARON TVERSKY	Individual	CORPORATE OFFICER	100	10/1/2022	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.
JENNIFER SPECTOR	Individual	CORPORATE OFFICER	100	10/1/2022	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.
MEIR KATZENSTEIN	Individual	CORPORATE OFFICER	100	10/1/2022	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.
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE	Organization	DIRECT OWNERSHIP INTEREST	4.99	10/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
DIANA DEVAULT	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.	10/1/2022	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.
MELISSA ANNE STACHOWIAK	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.	10/1/2022	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.
AARON TVERSKY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2022	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.
DIANA DEVAULT	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2022	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.
ERIN MAYS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2022	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.
GOLDWATER CARE MANAGEMENT LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
JENNIFER SPECTOR	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	10/1/2022	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.
MEIR KATZENSTEIN	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	10/1/2022	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.
MUHAMMAD ZAFAR	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2022	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.
NAFTALI WILHELM	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2022	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.
STEVEN TUROFSKY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2022	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.

Changes in ownership

1 July 2026: JENNIFER SPECTOR 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: JENNIFER SPECTOR 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: JENNIFER SPECTOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 June 2025: BRIANNE DRONENBERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DAVID A BERKOWITZ RVOC TR DAVID BERKOWITZ TTEE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JENNIFER SPECTOR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MELISSA ANNE STACHOWIAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MELISSA ANNE STACHOWIAK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CURIS SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: NAFTALI WILHELM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: NAFTALI WILHELM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DIANA DEVAULT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DIANA DEVAULT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DIANA DEVAULT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GOLDWATER CARE MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GOLDWATER CARE MANAGEMENT LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MUHAMMAD ZAFAR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MUHAMMAD ZAFAR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: STEVEN TUROFSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MEIR KATZENSTEIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ERIN MAYS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ERIN MAYS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: AARON TVERSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: AARON TVERSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: AARON TVERSKY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DAVID A. BERKOWITZ REVOCABLE TRUST appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: 1225 S EWING DRIVE, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JENNIFER SPECTOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JENNIFER SPECTOR appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
15 May 2023: JENNIFER SPECTOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: JENNIFER SPECTOR appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
14 April 2023: BRIANNE DRONENBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: RICHARD HIATT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BRIANNE LOUDON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JEFF RIENTS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: DEBORAH HOWARD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BRIANNE DRONENBERG appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: MEIR KATZENSTEIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: MEIR KATZENSTEIN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: MEIR KATZENSTEIN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: DAVID A BERKOWITZ RVOC TR DAVID BERKOWITZ TTEE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv

Recent changes on this record

1 July 2026: JENNIFER SPECTOR 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: JENNIFER SPECTOR 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: JENNIFER SPECTOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JENNIFER SPECTOR appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
11 September 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 June 2025: BRIANNE DRONENBERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DAVID A BERKOWITZ RVOC TR DAVID BERKOWITZ TTEE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JENNIFER SPECTOR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MELISSA ANNE STACHOWIAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MELISSA ANNE STACHOWIAK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CURIS SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: NAFTALI WILHELM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: NAFTALI WILHELM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DIANA DEVAULT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DIANA DEVAULT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DIANA DEVAULT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GOLDWATER CARE MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GOLDWATER CARE MANAGEMENT LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MUHAMMAD ZAFAR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MUHAMMAD ZAFAR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: STEVEN TUROFSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MEIR KATZENSTEIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ERIN MAYS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ERIN MAYS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: AARON TVERSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: AARON TVERSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: AARON TVERSKY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DAVID A. BERKOWITZ REVOCABLE TRUST appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: 1225 S EWING DRIVE, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JENNIFER SPECTOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JENNIFER SPECTOR appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
7 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
25 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2023.zip
28 June 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
15 May 2023: JENNIFER SPECTOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: JENNIFER SPECTOR appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
14 April 2023: BRIANNE DRONENBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	16 May 2024	16 May 2024	17	4
2	28 July 2023	28 July 2023	12	4
3	12 August 2022	12 August 2022	4	7

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

33 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
29 June 2026	Health	F 0567	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	D	Yes	Deficient, Provider has date of correction	30 June 2026
29 June 2026	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	30 June 2026
29 June 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	30 June 2026
20 August 2025	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Deficient, Provider has date of correction	21 August 2025
20 August 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	21 August 2025
20 August 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	Yes	Deficient, Provider has date of correction	21 August 2025
25 November 2024	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	2 December 2024
25 November 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	2 December 2024
25 November 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	2 December 2024
16 May 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	21 May 2024
16 May 2024	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	21 May 2024
16 May 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	21 May 2024
16 May 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	21 May 2024
16 May 2024	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	21 May 2024
16 May 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	21 May 2024
16 May 2024	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	G	No	Deficient, Provider has date of correction	21 May 2024
16 May 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	21 May 2024
16 May 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	17 May 2024
16 May 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	21 May 2024
16 May 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	21 May 2024
27 September 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	29 September 2023
28 July 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	7 August 2023
28 July 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	7 August 2023
28 July 2023	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	7 August 2023
28 July 2023	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	No	Deficient, Provider has date of correction	7 August 2023
28 July 2023	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	7 August 2023
28 July 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	7 August 2023
28 July 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	7 August 2023
28 July 2023	Health	F 0882	Infection Control Deficiencies	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	F	No	Deficient, Provider has date of correction	7 August 2023
28 July 2023	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	7 August 2023
12 August 2022	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	24 August 2022
12 August 2022	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	E	No	Deficient, Provider has date of correction	24 August 2022
12 August 2022	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	24 August 2022

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	GOLDWATER PONTIAC NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid Services	1997-08-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Livingston
Telephone Number	8158445121
Chain Name	GOLDWATER CARE
Chain ID	699
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	90
Average Number of Residents per Day	84.5
Overall Rating	2
Health Inspection Rating	3
QM Rating	4
Long-Stay QM Rating	4
Short-Stay QM Rating	3
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on GOLDWATER PONTIAC NURSING HOME: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: JENNIFER SPECTOR no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for GOLDWATER PONTIAC NURSING HOME

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Illinois at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 145930.