Skilled nursing facility · CMS certification number 145986
LAKE FOREST PLACE
LAKE FOREST, Illinois · Medicare
Certified beds, as filed in Care Compare: 50
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 April 2024 to 31 March 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 September 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,019,467 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,413,440 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,606,027 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,151,481 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,545,454 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,099,812 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $39,554,358 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,350,678 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 18,250 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,260 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 11,641 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,901 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 216 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 237 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 453 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 37.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439556, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 31 March 2024
Cost report for 1 April 2023 to 31 March 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,519,351 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,284,088 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,235,263 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,648,106 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,412,843 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $44,663,056 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $43,250,213 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $12,676,675 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,590 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 380 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 43.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397096, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 31 March 2023
Cost report for 1 April 2022 to 31 March 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 October 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,856,204 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,623,573 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,232,631 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,447,086 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,214,455 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,230,371 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $22,015,916 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,507,416 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,713 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 820 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 19.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366844, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 31 March 2022
Cost report for 1 April 2021 to 31 March 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 October 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,657,542 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,438,089 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,219,453 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,951,446 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,731,993 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,672,588 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $26,940,595 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,155,966 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,504 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 728 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 22.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335826, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 31 March 2021
Cost report for 1 April 2020 to 31 March 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 December 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,685,635 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $981,715 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,703,920 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,169,732 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,465,812 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $44,894,251 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $42,428,439 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $18,465,310 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,644 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 399 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 41.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1306782, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 31 March 2020
Cost report for 1 April 2019 to 31 March 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,017,731 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,017,502 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,000,229 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,556,690 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,556,461 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,369,963 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $28,813,502 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,850,378 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,152 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 501 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 36.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274788, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 31 March 2019
Cost report for 1 April 2018 to 31 March 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 September 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,187,409 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,510,663 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,676,746 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,935,353 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,258,607 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,986,382 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $21,727,775 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,432,461 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,280 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 572 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 40.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243762, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 31 March 2018
Cost report for 1 April 2017 to 31 March 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 October 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,445,068 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,578,001 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,867,067 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,178,397 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$311,330 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,430,712 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $25,119,382 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,908,330 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,670 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 466 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 50.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1212535, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 March 2017
Cost report for 1 April 2016 to 31 March 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 November 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,062,068 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,012,295 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,049,773 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,725,908 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$676,135 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,517,938 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $28,841,803 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $9,077,444 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,791 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 470 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 48.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178099, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 March 2016
Cost report for 1 December 2015 to 31 March 2016 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 4 November 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,126,510 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $647,670 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,478,840 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,956,381 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,477,541 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,453,703 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $976,162 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $906,159 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,437 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 177 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 42.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145921, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 November 2015
Cost report for 1 April 2015 to 30 November 2015 — a reporting period of 243 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 November 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,810,377 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $983,036 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,827,341 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,867,409 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,040,068 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,458,006 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,417,938 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,417,938 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,211 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 329 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 46.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1146893, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 March 2014
Cost report for 1 April 2013 to 31 March 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 October 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,849,364 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $704,936 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,144,428 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,286,992 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$19,142,564 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,304,996 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,162,432 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,162,432 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,103 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 372 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 54.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1079356, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 March 2013
Cost report for 1 April 2012 to 31 March 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,332,877 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $43,451 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,289,426 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,118,332 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$19,828,906 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,203,249 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,625,657 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,625,657 (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 | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,066 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 371 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 56.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049168, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 March 2012
Cost report for 1 April 2011 to 31 March 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,735,007 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,735,007 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,567,997 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$17,832,990 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,359,588 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$6,473,402 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,473,402 (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 | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,016 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 796 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 26.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1010342, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 March 2011
Cost report for 1 April 2010 to 31 March 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 October 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,616,316 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,558,775 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$20,942,459 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,673,584 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,268,875 (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 | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,781 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 759 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 27.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 419298, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 31 March 2010
Cost report for 1 April 2009 to 31 March 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 November 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,995,906 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,412,661 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$19,416,755 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,862,207 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $4,445,452 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,905 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 715 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 29.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 389248, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 March 2009
Cost report for 1 April 2008 to 31 March 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 October 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,883,853 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,379,267 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,495,414 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,900 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,489,514 (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 | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,007 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 467 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 44.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358352, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 31 March 2008
Cost report for 1 April 2007 to 31 March 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 April 2009.
None of these figures is carried on this report.
CMS report record 336586, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 31 March 2007
Cost report for 1 April 2006 to 31 March 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 July 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $26,885,110 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,376,098 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,509,012 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $1,509,012 (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 | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,832 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 731 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 14.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 27.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322504, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 31 March 2006
Cost report for 1 April 2005 to 31 March 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $26,071,506 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,160,189 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,911,317 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,223 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,891,687 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$920,147 (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 | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,601 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 411 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 47.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 279632, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 31 March 2005
Cost report for 1 April 2004 to 31 March 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 May 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $23,615,006 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,037,058 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,577,948 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,971,285 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,170,772 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$2,621,539 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,644 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 245 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 80.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249544, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 March 2004
Cost report for 1 April 2003 to 31 March 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 9 September 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,570,575 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,378,713 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,191,862 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $147,742 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,846,778 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,507,174 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,473 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 548 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 33.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232680, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 31 March 2003
Cost report for 1 April 2002 to 31 March 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,061,593 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,253,340 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $808,253 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,091,894 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,407,330 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$507,183 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,352 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 312 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 55.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 178331, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 31 March 2002
Cost report for 1 April 2001 to 31 March 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $23,155,661 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,513,253 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $2,642,408 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $3,095,238 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$452,830 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 56 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,501 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 288 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 57.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 140533, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 31 March 2001
Cost report for 1 April 2000 to 31 March 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,389,250 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,155,637 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,233,613 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $693,165 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,926,778 (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 | 56 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,543 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 70.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116416, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 31 March 2000
Cost report for 23 September 1999 to 31 March 2000 — a reporting period of 190 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 23 August 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,555,980 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,359,330 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$4,803,350 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,475,172 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,328,178 (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 | 56 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,234 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 126 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 57.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17487, 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.
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 |
|---|---|---|---|---|
| PRESBYTERIAN HOMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 12/01/2015 |
| BAILEY, BARBARA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/27/2016 |
| JACOBSON, LYDIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/18/2024 |
| LIGGETT, ANNA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/09/2025 |
| PRESBYTERIAN HOMES MANAGER LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/17/2025 |
| VANBERKEL, CAROL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/02/2025 |
| BRAULT, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/24/2022 |
| DEARBORN, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2023 |
| DENISON, CHARLES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2015 |
| HITE, ELINOR | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/01/2017 |
| KELLY, VINCENT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2017 |
| LINCOLN, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2021 |
| MARX, DENNIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2015 |
| MCAFEE, THOMAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2019 |
| MOLLMAN, ERIC | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/24/2022 |
| OBERREIDER, MARSHA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/22/2024 |
| REYNOLDS, SAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| SEYMOUR, JULIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2021 |
| STRAUSBAUGH, JESSICA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2023 |
| WETZEL, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2021 |
| ABI-ANTOUN, NADIM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2023 |
| HAVRILKA, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2015 |
| BAILEY, BARBARA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/27/2016 |
| ICHINOSE, KELLY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/03/2023 |
| JACOBSON, LYDIA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/18/2024 |
| LIGGETT, ANNA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2005 |
| MADAL, ANTHONY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/23/2023 |
| PATEL, ALPANA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/10/2018 |
| VANBERKEL, CAROL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/03/2022 |
| BAILEY, BARBARA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/27/2016 |
| FAMILARA, CEAZAR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/10/2022 |
| HAVRILKA, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2015 |
| ICHINOSE, KELLY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/03/2023 |
| JACOBSON, LYDIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/18/2024 |
| LIGGETT, ANNA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2025 |
| MADAL, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/23/2023 |
| MILLER, CHERYL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/04/2015 |
| PATEL, ALPANA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/10/2018 |
| PRATT, PATRICIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/24/2023 |
| PRESBYTERIAN HOMES MANAGER LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2015 |
| VANBERKEL, CAROL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2022 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LAKE FOREST PLACE, LLC (enrollment ID O20160104001908).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PRESBYTERIAN HOMES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANNA BREEN LIGGETT | 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. | 7/9/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BARBARA BAILEY | 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. | 9/27/2016 | 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. |
| CAROL VANBERKEL | 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. | 4/2/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LYDIA JACOBSON | 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. | 11/18/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PRESBYTERIAN HOMES MANAGER LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/17/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 4/8/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHARLES G DENISON | Individual | CORPORATE DIRECTOR | 0 | 12/1/2015 | 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. |
| DENNIE MARX | Individual | CORPORATE DIRECTOR | 0 | 12/1/2015 | 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. |
| ELINOR HITE | Individual | CORPORATE DIRECTOR | 0 | 8/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ERIC MOLLMAN | Individual | CORPORATE DIRECTOR | 0 | 5/24/2022 | 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. |
| JAMES BRAULT | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/24/2022 | 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. |
| JESSICA STRAUSBAUGH | Individual | CORPORATE DIRECTOR | 0 | 4/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JULIE SEYMOUR | Individual | CORPORATE DIRECTOR | 0 | 4/1/2021 | 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. |
| MARK WETZEL | Individual | CORPORATE DIRECTOR | 0 | 4/1/2021 | 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. |
| MARSHA OBERREIDER | Individual | CORPORATE DIRECTOR | 0 | 8/22/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MICHAEL LINCOLN | Individual | CORPORATE DIRECTOR | 0 | 4/1/2021 | 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. |
| ROBERT DEARBORN | Individual | CORPORATE DIRECTOR | 0 | 4/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SAM REYNOLDS | Individual | CORPORATE DIRECTOR | 0 | 4/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| THOMAS J MCAFEE | Individual | CORPORATE DIRECTOR | 0 | 4/1/2019 | 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. |
| VINCENT K KELLY | Individual | CORPORATE DIRECTOR | 0 | 3/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK E HAVRILKA | Individual | CORPORATE OFFICER | 0 | 12/1/2015 | 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. |
| NADIM M ABI-ANTOUN | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ALPANA PATEL | 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. | 10/10/2018 | 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. |
| ANNA BREEN LIGGETT | 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. | 7/1/2005 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ANTHONY MADAL | 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. | 10/23/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BARBARA BAILEY | 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. | 9/27/2016 | 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. |
| CAROL VANBERKEL | 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. | 1/3/2022 | 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. |
| KELLY ICHINOSE | 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. | 7/3/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LYDIA JACOBSON | 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. | 11/18/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ALPANA PATEL | 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. | 10/10/2018 | 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. |
| ANNA BREEN LIGGETT | 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. | 7/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ANTHONY MADAL | 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. | 10/23/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BARBARA BAILEY | 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. | 9/27/2016 | 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. |
| CAROL VANBERKEL | 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. | 1/3/2022 | 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. |
| CEAZAR FAMILARA | 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. | 1/10/2022 | 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. |
| CHERYL MILLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/4/2015 | 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. |
| KELLY ICHINOSE | 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. | 7/3/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LYDIA JACOBSON | 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. | 11/18/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK E HAVRILKA | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2015 | 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. |
| PATRICIA G PRATT | 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. | 7/24/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PRESBYTERIAN HOMES MANAGER 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. | 12/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: ERIC MOLLMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANNA BREEN LIGGETT 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: ANNA BREEN LIGGETT no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANNA BREEN LIGGETT 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: JAMES BRAULT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ERIC MOLLMAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANNA BREEN LIGGETT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANNA BREEN LIGGETT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANNA BREEN LIGGETT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JAMES BRAULT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2026: NADIM M ABI-ANTOUN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CEAZAR FAMILARA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LESLIE GREEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CAROL VANBERKEL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: DAVID R DONNERSBERGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MARK F TOLEDO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LAKE FOREST PLACE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PAULA M NOBLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MICHAEL D KIRBY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PRESBYTERIAN HOMES no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MONICA HEENAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: TODD F SWORTZEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: TODD F SWORTZEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BARBARA BAILEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PRESBYTERIAN HOMES MANAGER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PATRICIA G PRATT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ALPANA PATEL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ALPANA PATEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LYDIA JACOBSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LYDIA JACOBSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LYDIA JACOBSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PRESBYTERIAN HOMES appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: JESSICA STRAUSBAUGH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SAM REYNOLDS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANNA BREEN LIGGETT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANNA BREEN LIGGETT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANNA BREEN LIGGETT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CEAZAR FAMILARA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ROBERT DEARBORN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MARSHA OBERRIEDER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANTHONY MADAL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANTHONY MADAL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CAROL VANBERKEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CAROL VANBERKEL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CAROL VANBERKEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CHERYL MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KELLY ICHINOSE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KELLY ICHINOSE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BARBARA BAILEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BARBARA BAILEY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 15 February 2023: NADIM M ABI-ANTOUN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: CEAZAR FAMILARA appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: LESLIE GREEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: DENNIS MARX appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: CAROL VANBERKEL appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: MARK E HAVRILKA appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: DAVID R DONNERSBERGER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: MICHAEL LINCOLN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: MARK F TOLEDO appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: THOMAS J MCAFEE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: PAULA M NOBLE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: MICHAEL D KIRBY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: VINCENT K KELLY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: MARK WETZEL appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: ELINOR HITE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: MONICA HEENAN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: TODD F SWORTZEL appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: JULIE SEYMOUR appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: CHARLES G DENISON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: ERIC MOLLMAN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: JAMES BRAULT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- 1 July 2026: ERIC MOLLMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANNA BREEN LIGGETT 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: ANNA BREEN LIGGETT no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANNA BREEN LIGGETT 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: JAMES BRAULT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ERIC MOLLMAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANNA BREEN LIGGETT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANNA BREEN LIGGETT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANNA BREEN LIGGETT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JAMES BRAULT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2026: NADIM M ABI-ANTOUN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CEAZAR FAMILARA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LESLIE GREEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CAROL VANBERKEL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: DAVID R DONNERSBERGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MARK F TOLEDO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LAKE FOREST PLACE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PAULA M NOBLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MICHAEL D KIRBY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PRESBYTERIAN HOMES no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MONICA HEENAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: TODD F SWORTZEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: TODD F SWORTZEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BARBARA BAILEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PRESBYTERIAN HOMES MANAGER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PATRICIA G PRATT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ALPANA PATEL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ALPANA PATEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LYDIA JACOBSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LYDIA JACOBSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LYDIA JACOBSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PRESBYTERIAN HOMES appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: JESSICA STRAUSBAUGH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SAM REYNOLDS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANNA BREEN LIGGETT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANNA BREEN LIGGETT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANNA BREEN LIGGETT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CEAZAR FAMILARA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ROBERT DEARBORN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 12 December 2024 | 12 December 2024 | 7 | 6 |
| 2 | 11 January 2024 | 11 January 2024 | 4 | 7 |
| 3 | 8 March 2023 | 8 March 2023 | 4 | 13 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
15 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 3 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 | 25 June 2026 |
| 23 April 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 21 May 2026 |
| 28 January 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 12 February 2026 |
| 13 August 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | 28 August 2025 |
| 27 February 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 7 March 2025 |
| 12 December 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 23 December 2024 |
| 12 December 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 23 December 2024 |
| 12 December 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 23 December 2024 |
| 14 August 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 27 August 2024 |
| 14 August 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | 27 August 2024 |
| 8 May 2024 | Health | F 0811 | Nutrition and Dietary Deficiencies | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | Yes | Deficient, Provider has date of correction | 17 May 2024 |
| 11 January 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 25 January 2024 |
| 8 March 2023 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | No | Deficient, Provider has date of correction | 22 March 2023 |
| 8 March 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | 22 March 2023 |
| 8 March 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 22 March 2023 |
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 |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | LAKE FOREST PLACE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1999-09-23 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Lake |
| Telephone Number | 8476046701 |
| 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 | 50 |
| Average Number of Residents per Day | 47.4 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on LAKE FOREST PLACE: 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: ERIC MOLLMAN no longer appears as CORPORATE DIRECTOR 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.
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 LAKE FOREST PLACE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Illinois at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 145986.