Skilled nursing facility · CMS certification number 146157
ROCK FALLS REHAB & HEALTH CARE CTR
ROCK FALLS, Illinois
This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026. Its Medicare enrollment, PETERSEN HEALTH & WELLNESS LLC (enrollment ID O20141006001294), is not listed in the CMS enrollment file dated 1 August 2026.
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 13 November 2024 — a reporting period of 317 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,866,977 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$41,484 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,908,461 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,039,033 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$130,572 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $570 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$130,002 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$130,002 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 18,126 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 47 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,522 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,625 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 7,194 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 2 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 6 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 12 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,380.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 599.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441084, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,142,816 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$62,792 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,205,608 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,409,005 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$203,397 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $121,960 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$81,437 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$81,437 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,637 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 31 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 440.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 310.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392876, 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 10 April 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,187,136 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$63,013 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,250,149 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,227,645 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $22,504 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $86,849 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $109,353 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $109,353 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,549 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 452.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 178.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375943, 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 4 August 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,065,099 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $218,353 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,846,746 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,079,697 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$232,951 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,529 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$197,422 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$197,422 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,761 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 29 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 469.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 336.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328863, 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 27 October 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,750,123 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $251,267 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,498,856 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,779,924 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$281,068 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $238,151 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$42,917 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$42,917 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,761 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 331.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 209.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303213, 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 18 May 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,636,623 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $255,535 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,381,088 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,910,228 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$529,140 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,741 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$515,399 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$515,399 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,966 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 35 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 437.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 227.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1284040, 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 2 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,703,302 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $93,083 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,610,219 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,953,986 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$343,767 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,590 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$327,177 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$327,177 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,576 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 407.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 208.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239259, 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 27 June 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,732,382 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $93,118 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,639,264 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,881,389 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$242,125 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,410 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$233,715 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$233,715 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,382 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 321.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 187.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1196222, 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 19 June 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,111,073 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $58,442 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,052,631 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,078,168 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$25,537 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,884 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$20,653 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$20,653 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,214 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 478.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 230.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1193574, 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 1 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,331,033 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $128,841 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,202,192 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,116,845 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $85,347 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,318 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $88,665 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $88,665 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,397 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 217.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179141, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 15 September 2014 to 31 December 2014 — a reporting period of 107 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 15 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $769,302 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $52,237 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $717,065 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $664,018 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $53,047 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,865 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $54,912 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $54,912 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,295 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 28 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 153.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148813, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 18 December 2012 to 31 December 2013 — a reporting period of 378 days, on form CMS-2540-10, settled, processed by CMS on 15 October 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,047,695 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $53,715 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,993,980 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,127,831 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$133,851 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,282 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$107,569 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$107,569 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,268 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 115.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111452, read from the public cost report file SNF10FY2013.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
Not yet extracted for this facility.
Medicare enrollment
Not yet extracted for this facility.
Changes in ownership
- 1 June 2025: MARK B PETERSEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MARK B PETERSEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MARGARITA CORNEJO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
Recent changes on this record
- 20 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 June 2025: MARK B PETERSEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MARK B PETERSEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MARGARITA CORNEJO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 22 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 10 April 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 4 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 27 October 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 18 May 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 2 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 27 June 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 19 June 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 1 December 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 15 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 15 October 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 6 May 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
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On 20 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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