Velarion Records

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Skilled nursing facility · CMS certification number 146020

Goldwater Care Roseville

ROSEVILLE, Illinois · Medicare and Medicaid

Certified beds, as filed in Care Compare: 99

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 August 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,098,139CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$248,037CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,346,176CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,105,291CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$240,885CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$218,931CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$459,816CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $459,816 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components36,135CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,141CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days10,765CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days6,206CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components18,112CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges15CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges29CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges15CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components59CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days76.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days371.21CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days306.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393149, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 April 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$3,071,500CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$109,227CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,962,273CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,698,438CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$736,165CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$122,195CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$613,970CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$613,970 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,823CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components48CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days62.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days476.94CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days267.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376299, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 February 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,452,940CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$254,546CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,198,394CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,384,721CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$186,327CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$286,509CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$100,182CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $100,182 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,049CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components61CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days72.93CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days473.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days246.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342819, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 August 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$4,042,568CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$562,260CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,480,308CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,261,232CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$219,076CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$925,348CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,144,424CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,144,424 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,306CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components63CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days445.32CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days290.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1291495, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 May 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$3,269,623CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$489,933CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,779,690CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,172,174CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$392,484CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$17,330CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$375,154CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$375,154 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,301CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components64CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.37CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days391.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days254.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1255730, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$3,245,200CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$186,895CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,058,305CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,257,417CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$199,112CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,614CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$172,498CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$172,498 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,133CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components73CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.03CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days482CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days262.1CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1238775, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 June 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$3,477,456CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$110,425CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,367,031CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,482,420CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$115,389CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$43,315CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$72,074CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$72,074 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,624CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components85CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days400.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days195.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1191929, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$3,631,237CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$208,927CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,422,310CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,535,829CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$113,519CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$29,329CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$84,190CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$84,190 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,819CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components92CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days434.21CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days237.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1172149, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 July 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$3,649,836CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$245,717CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,404,119CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,424,136CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$20,017CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,116CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,901CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,901 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,781CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components116CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days221.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days179.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171353, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2017.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$3,321,873CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$268,731CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,053,142CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,268,214CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$215,072CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$55,761CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$159,311CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$159,311 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,706CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components75CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days458.04CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days262.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1150847, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2016.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$3,081,011CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$193,225CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,887,786CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,289,040CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$401,254CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$207,097CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$194,157CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$194,157 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,987CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components79CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days267.32CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days253CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1117401, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 11 June 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$3,547,384CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$190,227CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,357,157CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,638,475CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$281,318CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$35,959CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$245,359CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$245,359 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,422CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components73CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days79.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days420CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days307.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1033697, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$3,947,956CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$201,880CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,746,076CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,389,875CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$356,201CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$35,944CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$392,145CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $392,145 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,537CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components66CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days89.59CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days708.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days356.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1047835, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 April 2010 to 31 December 2010 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 28 June 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$2,590,088CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,790,147CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$200,059CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$20,648CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$179,411 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,963CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components58CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days80.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days505.05CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days292.47CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 431055, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 29 February 2012.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$3,584,431CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,626,185CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$41,754CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,270CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$35,484 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,548CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components56CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days130.06CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days583.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days420.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 425220, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 3 June 2011.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$3,564,429CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,447,322CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$117,107CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$12,484CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $129,591 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,802CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components65CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days65.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days678.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days366.18CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 401966, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$3,690,953CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,898,585CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$207,632CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$14,652CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$192,980 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,670CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components96CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days90.69CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days567.27CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days236.15CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 348443, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 June 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,062,632CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,448,208CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$385,576CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$11,791CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$373,785 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,500CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components89CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days95.79CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days616.7CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days286.52CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 313879, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 November 2005 to 31 December 2005 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 24 January 2008.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$624,760CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$590,731CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$34,029CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,451CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $36,480 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components4,467CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components21CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days63.27CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days341.29CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days212.71CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 299955, read from the public cost report file SNFFY2006.zip.

Fiscal year 2004, ended 30 June 2004

Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 3 February 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,075,313CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,771,981CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$303,332CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$139,931CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$10,534CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $432,729 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,995CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components129CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days67.53CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days370.05CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days209.26CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 206318, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended 30 June 2003

Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 November 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,486,934CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,575,288CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$88,354CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$200,613CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $112,259 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,587CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components52CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days113.93CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days871.17CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days492.06CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 200714, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended 30 June 2002

Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 February 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$2,091,344CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,487,477CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$396,133CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$146,951CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1,585CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$250,767 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,314CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components39CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days115CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days715.54CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days649.08CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 169518, read from the public cost report file SNFFY2001.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 managerRoleTypeOwnership percentageAssociation
ARTEAGA, MAYRAADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2024
BATTENBURG, JAMESADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2024
CURIS SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2024
GOLDWATER CARE MANAGEMENT LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/04/2025
KATZENSTEIN, MEIRADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2024
PETERSEN SNF HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/04/2025
SPECTOR, JENNIFERADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2024
STACHOWIAK, MELISSAADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2024
TVERSKY, AARONADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2024
WALTERS, ALISHAADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2024
WILHELM, NAFTALIADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2024
SPECTOR, JENNIFERCORPORATE OFFICERIndividualNOT APPLICABLEsince 12/01/2024
STACHOWIAK, MELISSACORPORATE OFFICERIndividualNOT APPLICABLEsince 12/01/2024
BERKOWITZ, DAVIDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 03/04/2025
MEYSTEL, YOSEFINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 03/04/2025
TUROFSKY, STEVENINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 02/27/2026
ARTEAGA, MAYRAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 12/01/2024
BATTENBURG, JAMESMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 12/01/2024
KATZENSTEIN, MEIRMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 12/01/2024
TVERSKY, AARONMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 12/01/2024
ARTEAGA, MAYRAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2024
BATTENBURG, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2024
GOLDWATER CARE MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/01/2024
KATZENSTEIN, MEIROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2024
SPECTOR, JENNIFEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2024
TUROFSKY, STEVENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2024
TVERSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2024
WALTERS, ALISHAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2024
WILHELM, NAFTALIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of GOLDWATER CARE ROSEVILLE LLC (enrollment ID O20251003003318).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
AARON TVERSKYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST3512/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID A BERKOWITZ DELTA TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST512/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
MEIR KATZENSTEINIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST3512/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
YOSEF MEYSTEL DELTA TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2512/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
AARON TVERSKYIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused 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.
ALISHA WALTERSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CURIS SERVICES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
GOLDWATER CARE MANAGEMENT LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/4/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
JAMES R BATTENBURGIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JENNIFER SPECTORIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused 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.
MAYRA ARTEAGAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MEIR KATZENSTEINIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MELISSA ANNE STACHOWIAKIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NAFTALI WILHELMIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused 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.
PETERSEN SNF HOLDINGS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/4/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
JENNIFER SPECTORIndividualCORPORATE OFFICER10012/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MELISSA ANNE STACHOWIAKIndividualCORPORATE OFFICER10012/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AARON TVERSKYIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused 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 R BATTENBURGIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused 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.
MAYRA ARTEAGAIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MEIR KATZENSTEINIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AARON TVERSKYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused 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.
ALISHA WALTERSIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GOLDWATER CARE MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JAMES R BATTENBURGIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JENNIFER SPECTORIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused 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.
MAYRA ARTEAGAIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MEIR KATZENSTEINIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NAFTALI WILHELMIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused 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 TUROFSKYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused 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

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
17 March 20257 March 2025109
218 April 202418 April 20241613
311 May 202311 May 202393

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

Deficiencies cited

35 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
10 September 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.FYesDeficient, Provider has date of correction11 September 2025
10 September 2025HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.LYesDeficient, Provider has date of correction11 September 2025
10 September 2025HealthF 0944Administration DeficienciesConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FYesDeficient, Provider has date of correction11 September 2025
10 September 2025HealthF 0946Administration DeficienciesProvide training in compliance and ethics.FYesDeficient, Provider has date of correction11 September 2025
3 June 2025HealthF 0835Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.FYesDeficient, Provider has date of correction8 June 2025
3 June 2025HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.HYesDeficient, Provider has date of correction8 June 2025
7 March 2025HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction10 March 2025
7 March 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction10 March 2025
7 March 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction10 March 2025
7 March 2025HealthF 0700Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.ENoDeficient, Provider has date of correction10 March 2025
7 March 2025HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction10 March 2025
7 March 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction10 March 2025
19 February 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction21 February 2025
19 February 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction21 February 2025
18 April 2024HealthF 0568Resident Rights DeficienciesProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.CNoDeficient, Provider has date of correction10 May 2024
18 April 2024HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.CNoDeficient, Provider has date of correction10 May 2024
18 April 2024HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction10 May 2024
18 April 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction10 May 2024
18 April 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction10 May 2024
18 April 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction10 May 2024
18 April 2024HealthF 0744Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DNoDeficient, Provider has date of correction10 May 2024
18 April 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction10 May 2024
18 April 2024HealthF 0773Administration DeficienciesProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DNoDeficient, Provider has date of correction10 May 2024
18 April 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction10 May 2024
18 April 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction10 May 2024
18 April 2024HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FNoDeficient, Provider has date of correction10 May 2024
15 November 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesDeficient, Provider has date of correction16 November 2023
11 May 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction31 May 2023
11 May 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction31 May 2023
11 May 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction31 May 2023
11 May 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction31 May 2023
11 May 2023HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction31 May 2023
11 May 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction31 May 2023
11 May 2023HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction31 May 2023
11 May 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction31 May 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
10 September 2025Fine$66,989134845
3 June 2025Fine$7,474135822
15 November 2023Fine$64,20169050

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameGOLDWATER CARE ROSEVILLE LLC
Date First Approved to Provide Medicare and Medicaid Services2002-04-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishWarren
Telephone Number3094262134
Chain NameGOLDWATER CARE
Chain ID699
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds99
Average Number of Residents per Day38.9
Overall Rating1
Health Inspection Rating1
QM Rating2
Long-Stay QM Rating2
Processing Date2026-08-01

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

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

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