Skilled nursing facility · CMS certification number 165575
Harmony Utica Ridge
Davenport, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 115
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 June 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,374,190 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,491,035 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,883,155 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,410,150 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $473,005 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $47,728 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $520,733 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $520,733 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,128 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,023 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 15,260 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 32,411 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 178 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 131 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 444 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 753 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 99.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450190, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 April 2023 to 31 December 2023 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 5 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,667,239 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,052,320 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,614,919 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,434,804 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $180,115 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,524 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $212,639 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $212,639 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,833 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 531 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1443749, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 May 2022
Cost report for 1 June 2021 to 31 May 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 February 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,926,320 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,800,652 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,125,668 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,520,828 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,395,160 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $879 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,394,281 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,395,502 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,156 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 960 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 34.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373302, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 31 May 2021
Cost report for 1 June 2020 to 31 May 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 October 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,929,630 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,090,081 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,839,549 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,750,861 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$911,312 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $258,668 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$652,644 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$656,452 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,755 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 832 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 179.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 36.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335083, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 31 May 2020
Cost report for 1 June 2019 to 31 May 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,835,827 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,241,828 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,593,999 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,772,885 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $821,114 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $779,347 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,600,461 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,591,950 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,998 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,263 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 131.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 30.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314688, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 31 May 2019
Cost report for 1 June 2018 to 31 May 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 April 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,975,606 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,170,325 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,805,281 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,714,984 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,090,297 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,135 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,093,432 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,093,432 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,777 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,255 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 198.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 30.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282560, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 31 May 2018
Cost report for 1 June 2017 to 31 May 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,803,833 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,085,119 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,718,714 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,400,425 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $318,289 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,715 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $331,004 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $331,004 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,917 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,167 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 138.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 32.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251559, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 May 2017
Cost report for 1 June 2016 to 31 May 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,827,937 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,633,870 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,194,067 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,305,236 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$111,169 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,355 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$90,814 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$90,814 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,570 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 986 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 204.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 37.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223291, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 May 2016
Cost report for 1 June 2015 to 31 May 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 October 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,589,264 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,245,804 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,343,460 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,322,345 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $21,115 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,025 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $51,140 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $51,140 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,977 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 897 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 153.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177106, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 May 2015
Cost report for 1 June 2014 to 31 May 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 June 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,506,881 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,354,896 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,151,985 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,749,635 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,402,350 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,197 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,437,547 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,437,547 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,606 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 867 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 150.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1133017, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 31 May 2014
Cost report for 1 June 2013 to 31 May 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,407,790 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,112,002 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,295,788 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,660,198 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $635,590 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,361 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $667,951 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $667,951 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,456 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 838 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 110.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109664, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 May 2013
Cost report for 1 June 2012 to 31 May 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 May 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,406,038 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,636,555 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,769,483 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,472,727 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,296,756 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,915 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,320,671 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,320,671 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,366 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 804 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 143.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1061187, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 May 2012
Cost report for 1 June 2011 to 31 May 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,768,885 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,668,890 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,099,995 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,516,302 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $583,693 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,617 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $606,310 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $606,310 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,502 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 784 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 175.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1048965, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 May 2011
Cost report for 1 June 2010 to 31 May 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,904,262 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,649,007 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $255,255 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,171 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $277,426 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,625 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 663 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 203.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 47.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432835, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 31 May 2010
Cost report for 1 June 2009 to 31 May 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,680,971 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,519,397 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $161,574 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,067 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $193,641 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,893 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 756 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 41.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 35.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415203, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 May 2009
Cost report for 14 February 2009 to 31 May 2009 — a reporting period of 106 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 18 December 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,306,535 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,680,287 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,373,752 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,110 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,367,642 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 3,111 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 50.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361364, read from the public cost report file SNFFY2009.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 26% | since 04/01/2023 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 60% | since 04/01/2023 |
| OAKWAY OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | since 04/01/2023 |
| SHABAT, MENACHEM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2023 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2023 |
| BURKEN, SHERI | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 04/01/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of UTICA SKILLED NURSING FACILITY LLC (enrollment ID O20230531002492).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25.5 | 4/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 59.5 | 4/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| OAKWAY OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 4/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHERI BURKEN | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 November 2023: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: DAMIAN RODGERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: SHERI BURKEN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: TIMOTHY ROBERTS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: ANDREA SYPE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: KATHRYN H HOOPS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: LUKE PILE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MARTIN D ALLEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: SHERI BURKEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: DOROS GENERATION TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: OAKWAY OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: GPN FAMILY TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MENACHEM SHABAT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 15 February 2023: ROBERT SHARON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: THOMAS R KILE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: TIMOTHY ROBERTS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: LUKE PILE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- 4 June 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 5 December 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 30 October 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 13 February 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 1 November 2023: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: DAMIAN RODGERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: SHERI BURKEN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: TIMOTHY ROBERTS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: ANDREA SYPE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: KATHRYN H HOOPS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: LUKE PILE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MARTIN D ALLEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: SHERI BURKEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: DOROS GENERATION TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: OAKWAY OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: GPN FAMILY TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MENACHEM SHABAT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 15 February 2023: ROBERT SHARON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: THOMAS R KILE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: TIMOTHY ROBERTS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: LUKE PILE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 17 October 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 25 April 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 19 April 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 27 February 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 25 April 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 17 October 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 28 June 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 16 September 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 29 May 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 5 November 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 11 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 18 December 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 14 May 2026 | 14 May 2026 | 13 | 3 |
| 2 | 21 April 2025 | 21 April 2025 | 12 | 2 |
| 3 | 13 June 2024 | 13 June 2024 | 9 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
34 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 9 June 2026 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Yes | Deficient, Provider has date of correction | 2 July 2026 |
| 9 June 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 2 July 2026 |
| 14 May 2026 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 7 June 2026 |
| 14 May 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 7 June 2026 |
| 14 May 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 7 June 2026 |
| 14 May 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 7 June 2026 |
| 14 May 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 2 July 2026 |
| 14 May 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 7 June 2026 |
| 14 May 2026 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | No | Deficient, Provider has date of correction | 7 June 2026 |
| 14 May 2026 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | 7 June 2026 |
| 14 May 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 7 June 2026 |
| 14 May 2026 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | C | No | Deficient, Provider has date of correction | 7 June 2026 |
| 14 May 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 7 June 2026 |
| 21 April 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 21 May 2025 |
| 21 April 2025 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | 21 May 2025 |
| 21 April 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 21 May 2025 |
| 21 April 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 21 May 2025 |
| 21 April 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 21 May 2025 |
| 21 April 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 21 May 2025 |
| 21 April 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 21 May 2025 |
| 21 April 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | 21 May 2025 |
| 21 April 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 21 May 2025 |
| 21 April 2025 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | No | Deficient, Provider has date of correction | 21 May 2025 |
| 21 April 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 21 May 2025 |
| 21 April 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 21 May 2025 |
| 25 July 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 30 August 2024 |
| 13 June 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 26 June 2024 |
| 13 June 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Yes | Deficient, Provider has date of correction | 26 June 2024 |
| 13 June 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | 26 June 2024 |
| 5 March 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 29 March 2024 |
| 5 March 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 29 March 2024 |
| 5 March 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Yes | Deficient, Provider has date of correction | 29 March 2024 |
| 5 March 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 29 March 2024 |
| 5 March 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | 29 March 2024 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 13 June 2024 | Fine | $37,665 | 79435 | ||
| 5 March 2024 | Fine | $13,627 | 79404 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | UTICA SKILLED NURSING FACILITY LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2009-02-09 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Scott |
| Telephone Number | 5633442000 |
| Chain Name | LEGACY HEALTHCARE |
| Chain ID | 306 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 115 |
| Average Number of Residents per Day | 93.9 |
| Overall Rating | 2 |
| Health Inspection Rating | 1 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 4 June 2026: 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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The citable document for Harmony Utica Ridge
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 Iowa 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 165575.