Skilled nursing facility · CMS certification number 146009

SELFHELP HOME OF CHICAGO

CHICAGO, Illinois · Medicare and Medicaid

Certified beds, as filed in Care Compare: 72

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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 March 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$12,745,477	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,733,589	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,011,888	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,587,059	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$575,171	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$812,881	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$237,710	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $237,710 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	26,352	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,558	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	1,170	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	15,338	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	20,066	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	135	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	6	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	81	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	222	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	195	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	90.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405528, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 April 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$12,183,490	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,919,923	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,263,567	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,858,659	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,595,092	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,365,355	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,770,263	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,770,263 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,867	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	239	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	205.2	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	83.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376298, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$11,390,747	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,138,823	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,251,924	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,815,315	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,563,391	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,346,301	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$217,090	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$217,090 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,643	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	193	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	173.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	96.6	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1345938, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$9,488,270	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,739,671	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,748,599	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,593,293	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,844,694	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,144,446	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$700,248	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$700,248 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,801	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	183	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	223.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	91.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313647, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 September 2020

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 April 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$10,424,579	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,160,680	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,263,899	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,816,587	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,552,688	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,572,027	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$19,339	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $19,339 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,950	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	259	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	872.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	73.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1282877, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 September 2019

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$12,269,355	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,362,511	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,906,844	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,122,695	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$215,851	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$575,262	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$359,411	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $359,411 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,802	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	315	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	69.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1253505, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 30 September 2018

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$7,214,594	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$7,214,594	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,902,571	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$687,977	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$732,222	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$44,245	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $44,245 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,947	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	336	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	68.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1222566, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 30 September 2017

Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$6,921,521	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$6,921,521	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,371,056	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$449,535	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$548,529	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$98,994	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $98,994 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,933	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	29.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	126.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1189082, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 30 September 2016

Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 March 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$6,238,694	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$6,238,694	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,289,545	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,050,851	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,351,937	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$301,086	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $301,086 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,507	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	145	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.01	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	155.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1155213, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 30 September 2015

Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 April 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$5,297,613	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,297,613	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,042,517	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$744,904	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,807,025	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$4,062,121	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,062,121 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,414	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	130	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.77	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	164.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1122948, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 30 September 2014

Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 April 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$5,396,597	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,396,597	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,734,277	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$337,680	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,398,080	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,060,400	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,060,400 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,982	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	125	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	175.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1088479, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 30 September 2013

Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 March 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$5,331,267	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,331,267	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,643,157	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$311,890	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$799,326	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$487,436	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$562,564 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,079	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	149	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.03	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	148.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1057696, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 September 2012

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 April 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$5,202,167	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,202,167	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,352,352	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$150,185	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,173,023	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,022,838	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,022,838 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,811	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	118	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	184.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1027415, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 September 2011

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 April 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$4,885,330	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,189,578	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$304,248	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$125,249	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$256	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$179,255 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,082	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	102	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	44.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	2,470	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	206.69	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 427522, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended 30 September 2010

Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 April 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,827,692	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,072,045	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$244,353	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$984,522	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $740,169 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,207	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	110	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.95	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	956.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	201.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 397347, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 September 2009

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 April 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,447,567	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,980,405	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$532,838	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$928,635	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $395,797 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,680	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	151	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.84	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	2,316	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	143.58	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 367555, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 30 September 2008

Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 April 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,682,102	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,798,107	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,116,005	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,259,810	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,143,805 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,874	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	138	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	379.73	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	158.51	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 337061, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 30 September 2007

Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 May 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,452,352	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,424,250	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$971,898	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,138,260	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,166,362 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,274	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	186	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.07	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	158.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	119.75	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 308460, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 30 September 2006

Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 May 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,058,094	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,096,467	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,038,373	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$752,008	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$286,365 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,244	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	160	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.99	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	279.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	139.03	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 276544, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 30 September 2005

Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 March 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,859,684	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,922,459	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,062,775	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,074,918	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $12,143 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,888	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	228	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.71	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	115.41	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	91.61	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 246258, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 30 September 2004

Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 April 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,669,158	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,796,159	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,127,001	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,132,087	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $2,005,086 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,623	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	200	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	44.24	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	59.31	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	108.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 213963, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 30 September 2003

Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 26 March 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,530,681	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,505,396	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$974,715	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,729,212	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $754,497 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,986	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	217	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.55	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	93.17	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	101.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 172071, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 30 September 2002

Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,197,966	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,126,999	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$929,033	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,249,887	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $320,854 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,501	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	139	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.57	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	311.24	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	154.68	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 175685, read from the public cost report file SNFFY2002.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
ELKIN, LAUREN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/03/2023
LEVY, STEVEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/31/2019
LIGGETT, ANNA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/14/2025
ALTKORN, DIANE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/11/2024
BENSINGER, EYTAN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/01/2016
BIERIG, JACK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/1988
EGGENER, RICHARD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/01/2020
GIMPEL, JAMES	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/01/2020
HARTMANN, NATHANIEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/01/2018
HIRSCH, AUSTIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/1990
HORK, MARC	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/01/2017
JUSS, RAPHAEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/01/2004
KANE, NICOLE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/11/2024
KOHN, ARTHUR	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2020
LICHTENFELD, SAMUEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/11/2024
NECHTOW, STEPHEN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/1998
PERLSTEIN, MICHAEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2010
REIZNER, ILENE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/01/2020
RIES, MICHAEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2008
WOLF, DANIEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/01/1995
WOLF, JERROLD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2017
WOLF, JUDITH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2000
DUBOVICK, CHAIM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/30/2024
LEVY, STEVEN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/31/2019
BOSS, CARMEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/27/1999
CAUINIAN, ANNE MARIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/09/2018
CHAVEZ, DAVID	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/20/2019
DUBOVICK, CHAIM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/30/2024
EDWARDS, ERICA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/15/2021
ELKIN, LAUREN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/03/2023
GAN, CARMELITA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/07/1996
LIGGETT, ANNA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2019
METOVIC, SOFIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/25/1989
SANCHEZ ARIAS, ELIZABETH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/08/2019
YEBOAH, ADWOA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/28/2012

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE SELFHELP HOME INC (enrollment ID O20090827000309).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
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.	4/14/2025	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.
LAUREN ELKIN	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.	2/3/2023	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.
STEVEN E LEVY	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/31/2019	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.
CMS paused 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.	4/14/2025	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.	4/14/2025	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.	4/14/2025	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.	6/30/2025	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.	4/14/2025	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.	4/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
ARTHUR JAY KOHN	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.	4/1/2020	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.
AUSTIN L HIRSCH	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.	1/1/1990	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.
DANIEL ALAN WOLF	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.	5/1/1995	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.
DIANE L ALTKORN	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.	9/11/2024	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.
EYTAN ERIC BENSINGER	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.	5/1/2016	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.
ILENE JO REIZNER	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.	5/1/2020	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.
JACK BIERIG	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.	10/1/1988	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 STUART GIMPEL	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.	5/1/2020	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.
JERROLD E. WOLF	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.	1/1/2017	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.
JUDITH ROSE WOLF	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.	10/1/2000	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.
MARC J. HORK	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.	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.
MICHAEL ALLAN PERLSTEIN	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.	1/1/2010	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 H RIES	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.	1/1/2008	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.
NATHANIEL BERNARD HARTMANN	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.	9/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICOLE NECHTOW KANE	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.	9/11/2024	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.
RAPHAEL A. JUSS	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.	9/1/2004	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.
RICHARD D EGGENER	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.	9/1/2020	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.
SAMUEL ALAN LICHTENFELD	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.	9/11/2024	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.
STEPHEN NECHTOW	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.	1/1/1998	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHAIM DUBOVICK	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.	8/30/2024	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.
STEVEN E LEVY	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.	1/31/2019	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.
ADWOA YEBOAH	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.	12/28/2012	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.	6/1/2019	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.
ANNE MARIE CAUINIAN	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.	7/9/2018	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.
CARMELITA GAN	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.	4/7/1996	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.
CARMEN BOSS	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.	9/27/1999	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHAIM DUBOVICK	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.	8/30/2024	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.
DAVID CHAVEZ	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.	5/20/2019	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.
ELIZABETH SANCHEZ ARIAS	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.	4/8/2019	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.
ERICA EDWARDS	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.	11/15/2021	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.
LAUREN ELKIN	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.	2/3/2023	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.
SOFIA METOVIC	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.	7/25/1989	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: JACK BIERIG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ARTHUR JAY KOHN 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 OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ELIZABETH SANCHEZ ARIAS 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: JACK BIERIG appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ARTHUR JAY KOHN 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 OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ELIZABETH SANCHEZ ARIAS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 January 2026: MARVIN RUBIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MARVIN RUBIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NICOLE NECHTOW KANE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: STEVEN E LEVY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: STEVEN E LEVY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: LAUREN ELKIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: LAUREN ELKIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ERICA EDWARDS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SOFIA METOVIC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: EYTAN ERIC BENSINGER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: RAPHAEL A. JUSS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ILENE JO REIZNER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DAVID CHAVEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MARC J. HORK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHAIM DUBOVICK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHAIM DUBOVICK appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MICHAEL ALLAN PERLSTEIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: AUSTIN L HIRSCH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: STEPHEN NECHTOW appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANNE MARIE CAUINIAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DIANE L ALTKORN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NATHANIEL BERNARD HARTMANN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DANIEL ALAN WOLF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MICHAEL H RIES appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JAMES STUART GIMPEL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JUDITH ROSE WOLF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JERROLD E. WOLF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CARMEN BOSS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: RICHARD D EGGENER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SAMUEL ALAN LICHTENFELD appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CARMELITA GAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ADWOA YEBOAH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JACK BIERIG appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ARTHUR JAY KOHN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANNA BREEN LIGGETT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANNA BREEN LIGGETT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ELIZABETH SANCHEZ ARIAS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv

Recent changes on this record

1 July 2026: JACK BIERIG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ARTHUR JAY KOHN 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 OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ELIZABETH SANCHEZ ARIAS 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: JACK BIERIG appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ARTHUR JAY KOHN 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 OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ELIZABETH SANCHEZ ARIAS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 January 2026: MARVIN RUBIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MARVIN RUBIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NICOLE NECHTOW KANE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: STEVEN E LEVY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: STEVEN E LEVY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: LAUREN ELKIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: LAUREN ELKIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ERICA EDWARDS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SOFIA METOVIC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: EYTAN ERIC BENSINGER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: RAPHAEL A. JUSS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ILENE JO REIZNER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DAVID CHAVEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MARC J. HORK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHAIM DUBOVICK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHAIM DUBOVICK appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MICHAEL ALLAN PERLSTEIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: AUSTIN L HIRSCH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: STEPHEN NECHTOW appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANNE MARIE CAUINIAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DIANE L ALTKORN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NATHANIEL BERNARD HARTMANN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DANIEL ALAN WOLF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MICHAEL H RIES appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JAMES STUART GIMPEL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JUDITH ROSE WOLF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JERROLD E. WOLF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CARMEN BOSS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: RICHARD D EGGENER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SAMUEL ALAN LICHTENFELD appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	14 August 2024	14 August 2024	9	1
2	12 May 2023	12 May 2023	9	1
3	10 March 2022	10 March 2022	3	0

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

Deficiencies cited

21 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
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	No	Deficient, Provider has date of correction	31 August 2024
14 August 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	31 August 2024
14 August 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	31 August 2024
14 August 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	31 August 2024
14 August 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	31 August 2024
14 August 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	F	No	Deficient, Provider has date of correction	31 August 2024
14 August 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	31 August 2024
14 August 2024	Health	F 0813	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	D	No	Deficient, Provider has date of correction	31 August 2024
14 August 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	31 August 2024
6 September 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	Yes	Deficient, Provider has date of correction	22 September 2023
12 May 2023	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	No	Deficient, Provider has date of correction	31 May 2023
12 May 2023	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	31 May 2023
12 May 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	31 May 2023
12 May 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	31 May 2023
12 May 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.	E	No	Deficient, Provider has date of correction	31 May 2023
12 May 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	31 May 2023
12 May 2023	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	31 May 2023
12 May 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	31 May 2023
12 May 2023	Health	F 0888	Infection Control Deficiencies	Ensure staff are vaccinated for COVID-19	F	No	Deficient, Provider has date of correction	31 May 2023
10 March 2022	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	31 March 2022
10 March 2022	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	31 March 2022

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	THE SELFHELP HOME INC
Date First Approved to Provide Medicare and Medicaid Services	2001-10-03
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	Cook
Telephone Number	7732710300
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	72
Average Number of Residents per Day	59.4
Overall Rating	5
Health Inspection Rating	4
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	5
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 SELFHELP HOME OF CHICAGO: the field, the value before, the value after, and the date of the file that first showed it.

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On 1 July 2026: JACK BIERIG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for SELFHELP HOME OF CHICAGO

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