Skilled nursing facility · CMS certification number 145993
COULTERVILLE REHAB & HCC
COULTERVILLE, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 75
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,506,377 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $545,920 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,960,457 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,990,228 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$29,771 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $164,693 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $134,922 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $134,922 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 27,450 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,002 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 11,423 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,996 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 25,421 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 51 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 93 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 120 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 264 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 122.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436621, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 January 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,912,545 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $491,112 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,421,433 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,662,788 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$241,355 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $244,697 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,342 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,342 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,847 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 250 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 311.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401831, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,880,309 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $891,457 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,988,852 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,003,684 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$14,832 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,057 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $12,225 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $12,225 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,303 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 126.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360385, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 August 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,893,946 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,592,489 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,301,457 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,810,363 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$508,906 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $528,581 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $19,675 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $19,675 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,764 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 411.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329378, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,304,870 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,615,330 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,689,540 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,949,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$259,735 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $288,075 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $28,340 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $28,340 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,664 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 317.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313752, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,978,916 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,413,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,565,157 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,557,207 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $7,950 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,042 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $27,992 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $27,992 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,788 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 182 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 291 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1264536, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,901,376 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,482,478 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,418,898 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,819,622 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $599,276 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,115 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $640,391 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $640,391 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,538 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 649.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239682, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,954,518 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,981,749 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,972,769 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,449,925 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $522,844 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,084 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $542,928 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $542,928 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,155 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 658.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207446, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,332,267 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,387,722 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,944,545 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,367,815 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $576,730 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,070 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $597,800 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $597,800 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,202 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 562.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1168885, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 May 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,492,317 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $403,103 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,089,214 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,538,621 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $550,593 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,491 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $580,084 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $580,084 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,016 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 196 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157531, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,469,590 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $535,379 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,934,211 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,522,739 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $411,472 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,501 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $434,973 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $434,973 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,324 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 197 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 218.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104668, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,500,148 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $396,368 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,103,780 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,057,875 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $45,905 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,206 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $76,111 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $76,111 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,091 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 178 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 91.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 218.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076543, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,339,914 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $495,038 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,844,876 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,230,748 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$385,872 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $62,211 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$323,661 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$323,661 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,834 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 113 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 589.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 219.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043630, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 September 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,756,414 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $230,291 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,526,123 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,538,003 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$11,880 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $48,121 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $36,241 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $23,728 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,230 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 296 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 203.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1011714, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 November 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,070,797 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,274,989 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$204,192 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $239,933 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $35,741 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,735 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 218.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420421, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 May 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,271,914 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,186,464 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $85,450 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,816 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $122,266 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,787 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 174 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 137.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 197.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398848, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 28 October 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,122,333 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,061,038 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $61,295 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,736 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $82,031 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,035 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 125.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358362, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 July 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,998,153 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,887,091 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $111,062 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,351 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $132,413 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,274 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,255.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 247.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 319680, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 July 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,102,934 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,629,301 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $473,633 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,119 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $493,752 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,683 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 90 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 413.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 196.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 288603, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 June 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,816,535 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,497,521 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $319,014 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $384,964 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $703,978 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,849 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 265.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 255343, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 6 June 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,084,167 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,257,061 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$172,894 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,391 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$165,503 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,608 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 111 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 411.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 203.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 219685, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 August 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,277,890 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,029,491 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $248,399 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,022 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $255,421 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,031 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 145.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,037.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 531.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 189317, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 October 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,053,756 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,169,225 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$115,469 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,004 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$94,486 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,984 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 245.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 188.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 197372, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 30 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,752,024 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,805,090 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$53,066 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$31,565 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$84,631 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,901 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 309.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 171.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 172365, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 May 2000 to 31 December 2000 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 15 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,492,583 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,947,431 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$454,848 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,188 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$436,660 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,760 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 301.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 254.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 86361, read from the public cost report file SNFFY2000.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 |
|---|---|---|---|---|
| BLOOM, RANDALL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/25/2017 |
| BROOKS, KILEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2019 |
| HIPSKIND, TIMOTHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| THORSON, ANGELA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| TI-COULTERVILLE, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/31/2017 |
| TUTERA, JOSEPH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/25/2017 |
| WAGNER, ALISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| WALNUT CREEK MANAGEMENT COMPANY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/07/2025 |
| JCT FAMILY LIMITED PARTNERSHIP | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/20/2013 |
| JCT INVESTMENTS, LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/20/2013 |
| DOMINIC FRANK TUTERA 2016 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 07/18/2015 |
| HANNAH MARIE TUTERA 2013 IRREVOCABLE TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/20/2013 |
| JOSEPH CHARLES TUTERA JR 2019 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 06/27/2019 |
| LAURA CIRESE TUTERA 2011 IRREVOCABLE TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/20/2013 |
| TUTERA INVESTMENTS, LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 12/31/2023 |
| BLOOM, RANDALL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/04/2004 |
| BROOKS, KILEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2019 |
| HIPSKIND, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| THORSON, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| TUTERA, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/25/2017 |
| WAGNER, ALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| WALNUT CREEK MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2014 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of COULTERVILLE REHABILITATION & HEALTH CARE CENTER, LLC (enrollment ID O20140701000090).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ALISA WAGNER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2025 | 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. |
| ANGELA THORSON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2025 | 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. |
| JOSEPH C TUTERA | 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. | 4/25/2017 | 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. |
| KILEY A BROOKS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2019 | 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. |
| RANDALL BLOOM | 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. | 4/25/2017 | 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. |
| TI-COULTERVILLE, 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. | 1/31/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TIMOTHY HIPSKIND | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2025 | 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. |
| WALNUT CREEK MANAGEMENT COMPANY 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. | 4/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JCT FAMILY LIMITED PARTNERSHIP | Organization | DIRECT OWNERSHIP INTEREST | 99 | 11/20/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| JCT INVESTMENTS, LLC | Organization | DIRECT OWNERSHIP INTEREST | 1 | 11/20/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| DOMINIC FRANK TUTERA 2016 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | 24.75 | 7/18/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| HANNAH MARIE TUTERA 2013 IRREVOCABLE TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 24.75 | 11/20/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOSEPH CHARLES TUTERA JR 2019 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | 24.75 | 6/27/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| LAURA CIRESE TUTERA 2011 IRREVOCABLE TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 24.75 | 11/20/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| TUTERA INVESTMENTS, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 1 | 12/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALISA WAGNER | 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. | 5/1/2025 | 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. |
| ANGELA THORSON | 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. | 5/1/2025 | 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. |
| JOSEPH C TUTERA | 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. | 4/25/2017 | 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. |
| KILEY A BROOKS | 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. | 7/1/2019 | 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. |
| RANDALL BLOOM | 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. | 11/4/2004 | 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. |
| TIMOTHY HIPSKIND | 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. | 5/1/2025 | 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. |
| WALNUT CREEK MANAGEMENT COMPANY 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. | 1/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 April 2026: JCT FAMILY LIMITED PARTNERSHIP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JCT FAMILY LIMITED PARTNERSHIP no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOSEPH C TUTERA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DOMINIC F TUTERA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WHITNEY OBERLINK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HANNAH M TUTERA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: KILEY A BROOKS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOSEPH C TUTERA no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOSEPH C TUTERA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JCT INVESTMENTS, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: LAURA C TUTERA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HANNAH MARIE TUTERA 2013 IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JCT FAMILY LIMITED PARTNERSHIP appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ALISA WAGNER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ALISA WAGNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TIMOTHY HIPSKIND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TIMOTHY HIPSKIND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ANGELA THORSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ANGELA THORSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WALNUT CREEK MANAGEMENT COMPANY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: LAURA CIRESE TUTERA 2011 IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DOMINIC FRANK TUTERA 2016 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: KILEY A BROOKS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: KILEY A BROOKS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOSEPH C TUTERA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TI-COULTERVILLE, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOSEPH CHARLES TUTERA JR 2019 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: RANDALL L BLOOM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: RANDALL L BLOOM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TUTERA INVESTMENTS, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JCT INVESTMENTS, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Recent changes on this record
- 1 April 2026: JCT FAMILY LIMITED PARTNERSHIP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JCT FAMILY LIMITED PARTNERSHIP no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOSEPH C TUTERA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DOMINIC F TUTERA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WHITNEY OBERLINK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HANNAH M TUTERA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: KILEY A BROOKS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOSEPH C TUTERA no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOSEPH C TUTERA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JCT INVESTMENTS, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: LAURA C TUTERA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HANNAH MARIE TUTERA 2013 IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JCT FAMILY LIMITED PARTNERSHIP appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ALISA WAGNER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ALISA WAGNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TIMOTHY HIPSKIND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TIMOTHY HIPSKIND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ANGELA THORSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ANGELA THORSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WALNUT CREEK MANAGEMENT COMPANY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: LAURA CIRESE TUTERA 2011 IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DOMINIC FRANK TUTERA 2016 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: KILEY A BROOKS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: KILEY A BROOKS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOSEPH C TUTERA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TI-COULTERVILLE, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOSEPH CHARLES TUTERA JR 2019 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: RANDALL L BLOOM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: RANDALL L BLOOM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TUTERA INVESTMENTS, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JCT INVESTMENTS, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 7 January 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 31 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 10 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 21 April 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 21 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 6 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 17 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 30 August 2024 | 30 August 2024 | 5 | 1 |
| 2 | 21 July 2023 | 21 July 2023 | 7 | 1 |
| 3 | 16 June 2022 | 16 June 2022 | 0 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
12 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 7 April 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Yes | Deficient, Provider has date of correction | 9 April 2026 |
| 7 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. | J | Yes | Deficient, Provider has date of correction | 9 April 2026 |
| 15 December 2025 | 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. | E | Yes | Deficient, Provider has date of correction | 31 December 2025 |
| 30 August 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 20 September 2024 |
| 30 August 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 | 20 September 2024 |
| 21 July 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | 15 August 2023 |
| 21 July 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | 15 August 2023 |
| 21 July 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Deficient, Provider has date of correction | 15 August 2023 |
| 21 July 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 15 August 2023 |
| 21 July 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 15 August 2023 |
| 21 July 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | 15 August 2023 |
| 21 July 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | 15 August 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 7 April 2026 | Fine | $113,818 | 139297 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | COULTERVILLE REHABILITATION & HEALTH CARE CENTER, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2000-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Randolph |
| Telephone Number | 6187582256 |
| Chain Name | TUTERA SENIOR LIVING & HEALTH CARE |
| Chain ID | 531 |
| 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 | 75 |
| Average Number of Residents per Day | 69.3 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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One email a day naming what moved on COULTERVILLE REHAB & HCC: 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 April 2026: JCT FAMILY LIMITED PARTNERSHIP no longer appears as LIMITED PARTNERSHIP INTEREST 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 COULTERVILLE REHAB & HCC
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 145993.