Skilled nursing facility · CMS certification number 155500
CMS certification number 155500
This certification number is not in CMS’s current Care Compare Provider Information file, processed on 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 November 2002 to 31 October 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 August 2005.
None of these figures is carried on this report.
CMS report record 230372, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 October 2002
Cost report for 1 November 2001 to 31 October 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 February 2004.
None of these figures is carried on this report.
CMS report record 169385, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 October 2001
Cost report for 1 November 2000 to 31 October 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 July 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,995,140 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,286,631 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$291,491 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,372 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$282,119 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,190 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 350.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 155285, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 October 2000
Cost report for 1 November 1999 to 31 October 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 December 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,992,822 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,323,195 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$330,373 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,262 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$317,111 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,480 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 38 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 460 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14165, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 October 1999
Cost report for 1 November 1998 to 31 October 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 1 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,106,376 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,123,752 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$17,376 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,204 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$4,172 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,259 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 315.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14164, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 October 1998
Cost report for 1 November 1997 to 31 October 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 April 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,249,562 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,411,796 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$162,234 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,963 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$144,271 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,823 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 247.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14162, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 October 1997
Cost report for 1 November 1996 to 31 October 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 October 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,522,302 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,614,005 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$91,703 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,650 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$73,053 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,335 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 309.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14160, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 October 1996
Cost report for 1 November 1995 to 31 October 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 March 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,627,055 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,854,255 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$227,200 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,271 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$208,929 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,456 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 105 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 213.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14158, read from the public cost report file SNFFY1996.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
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Medicare enrollment
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Changes in ownership
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Recent changes on this record
- 9 August 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 21 October 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2004.zip
- 23 February 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 28 July 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- 27 December 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- 1 May 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 21 April 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- 1 October 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- 24 March 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
Not yet extracted for this facility.
Deficiencies cited
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Penalties
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Care Compare provider information
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One email a day naming what moved on CMS certification number 155500: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 9 August 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. That is one line of the alert.
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The citable document for CMS certification number 155500
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in the same state at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 155500.