Skilled nursing facility · CMS certification number 165580

Royal Oaks Nursing and Rehabilitation Center

Urbandale, 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 14 October 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$15,697,435	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,724,978	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,972,457	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,578,591	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,393,866	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,992	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,398,858	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,398,858 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	42,090	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,971	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	22,972	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	5,399	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	30,342	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	25	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	13	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	109	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	147	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	78.84	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,767.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	206.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440866, 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 27 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$13,339,726	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,622,406	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,717,320	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,517,515	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$800,195	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$71	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$800,124	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$800,124 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,011	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	70.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	764.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	326.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396118, 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 27 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$13,111,963	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,311,179	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,800,784	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,859,337	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,058,553	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$75,090	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,133,643	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,133,643 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,358	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	212	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	13.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	143.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365585, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 July 2021 to 31 December 2021 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,574,706	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,971,728	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,602,978	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,330,380	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$272,598	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$55,756	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$216,842	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $216,842 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,606	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	165	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	326.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	94.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333622, 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 24 May 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$10,731,392	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,334,024	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,397,368	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,684,706	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$712,662	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$681,043	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,393,705	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,221,042 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,759	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	237	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	336.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	146.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1316762, 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 4 June 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$9,852,032	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,371,798	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,480,234	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,668,351	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$188,117	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,785	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$185,332	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$384,974 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,699	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	236	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	592.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	142.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1285401, 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 21 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$8,821,198	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$809,242	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,011,956	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,197,662	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$185,706	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,303	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$184,403	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$392,603 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,011	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	287	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	448.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	115.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241557, 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 26 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$8,627,675	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,036,737	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,590,938	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,302,162	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$711,224	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,233	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$707,991	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$707,991 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,228	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	235	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	805.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	137.14	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1202859, 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 21 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$9,907,258	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,301,932	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,605,326	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,286,345	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$318,981	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,297	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$320,278	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $326,903 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,965	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	317	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.84	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	273.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	110.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170303, 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 15 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$10,241,601	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,399,330	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,842,271	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,022,766	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$819,505	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$594	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$820,099	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $820,099 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,568	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	296	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	397.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	116.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141303, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$9,893,767	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,176,497	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,717,270	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,482,907	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,234,363	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$27,190	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,261,553	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,095,874 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,139	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	199	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,169.85	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	186.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1106665, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$8,721,900	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$967,286	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,754,614	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,228,540	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$526,074	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,818	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$544,892	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $544,892 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,065	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	248	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	426.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	141.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1075590, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$8,339,901	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$860,926	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,478,975	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,683,877	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$795,098	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,533	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$816,631	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $655,991 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,358	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	270	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	262.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	130.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1045998, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$8,121,355	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$842,709	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,278,646	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,614,803	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$663,843	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$53,135	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$716,978	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $569,255 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,488	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	222	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	560.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	155.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1012759, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$7,060,183	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,655,917	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$404,266	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$71,985	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$102,086	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $374,165 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	180	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,965	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	235	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.99	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	967.2	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	140.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 412633, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,456,945	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,740,309	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,283,364	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$31,961	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,251,403 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	180	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,510	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	248	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.03	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	308.24	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	94.8	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 384391, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 October 2008

Cost report for 1 January 2008 to 31 October 2008 — a reporting period of 304 days, on form CMS-2540-96, settled, processed by CMS on 19 April 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,206,904	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,199,664	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,992,760	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,782	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$275,948	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$2,265,926 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	180	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	11,630	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	117	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.29	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	274.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	99.4	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 367634, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 9 July 2007 to 31 December 2007 — a reporting period of 175 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 18 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$742,926	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,055,449	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,312,523	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$341	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$7,432	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$1,319,614 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	180	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	4,079	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	23	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	177.35	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 324329, read from the public cost report file SNFFY2007.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
AMARANTHINE HOLDINGS LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2025
CEDAR VIEW HOLDINGS LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 01/01/2025
CEDAR VIEW TR	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 01/01/2025
GREATOREX, TINA	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 01/01/2025
IOWA 5784 LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 01/01/2025
SAMARA FAMILY HOLDINGS LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 01/01/2025
SCHIOWITZ, MARC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 01/01/2025
SEBBAG, GABRIEL	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 01/01/2025
4614 NW 84TH STREET PROPCO LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2025
CARESAGE ADMINISTRATIVE CONSULTING, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2025
CEDAR VIEW HOLDINGS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/25/2025
CEDAR VIEW TR	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/25/2025
CLINICAL CONSULTING SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2025
IOWA 5784 LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/25/2025
JSJ 2020 FAM TR	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2025
JSJ PROPERTY LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2025
OCONNER, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
REITER, JENNIFER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
SAMARA FAM TR	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2025
SUMMATION FINANCIAL SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2025
THE BRYN MAWR TRUST COMPANY OF DELAWARE	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2025
OCONNER, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025
REITER, JENNIFER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025
SEBBAG, GABRIEL	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ROYAL OAKS NURSING AND REHABILITATION CENTER LLC (enrollment ID O20250213003775).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
AMARANTHINE HOLDINGS LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
CEDAR VIEW HOLDINGS LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	24	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
CEDAR VIEW TR	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	24	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
GABRIEL J SEBBAG	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	52	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
IOWA 5784 LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	52	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
MARC SCHIOWITZ	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SAMARA FAM TR	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	24	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
SAMARA FAMILY HOLDINGS LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	24	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
TINA GREATOREX	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
4614 NW 84TH STREET PROPCO LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
CARESAGE ADMINISTRATIVE CONSULTING, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
CEDAR VIEW HOLDINGS LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/25/2025	Private equity company: No Real estate investment trust: No Holding company: No
CEDAR VIEW TR	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/25/2025	Private equity company: No Real estate investment trust: No Holding company: No
CLINICAL CONSULTING SERVICES LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
IOWA 5784 LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/25/2025	Private equity company: No Real estate investment trust: No Holding company: No
JENNIFER REITER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JSJ 2020 FAM TR	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
JSJ PROPERTY LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
MICHAEL P OCONNER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SAMARA FAM TR	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
SUMMATION FINANCIAL SERVICES LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
THE BRYN MAWR TRUST COMPANY OF DELAWARE	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
JENNIFER REITER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL P OCONNER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GABRIEL J SEBBAG	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: MARC SCHIOWITZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GABRIEL J SEBBAG no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GABRIEL J SEBBAG no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARC SCHIOWITZ appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GABRIEL J SEBBAG appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GABRIEL J SEBBAG appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 March 2026: MICHAEL F FLANAGAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JENNIFER REITER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CARESAGE ADMINISTRATIVE CONSULTING, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: INVESTCO TABLETOP, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: HOLDCO PRAIRIE ROSE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: HOLDCO TABLETOP, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CEDAR VIEW HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CEDAR VIEW HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SAMARA FAMILY HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CLINICAL CONSULTING SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JENNIFER REITER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JENNIFER REITER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: TINA GREATOREX appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SUMMATION FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: THE BRYN MAWR TRUST COMPANY OF DELAWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CARESAGE ADMINISTRATIVE CONSULTING, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CEDAR VIEW TR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CEDAR VIEW TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: 4614 NW 84TH STREET PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JSJ PROPERTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: AMARANTHINE HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MICHAEL P OCONNER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MICHAEL P OCONNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: IOWA 5784 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: IOWA 5784 LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JSJ 2020 FAMILY TR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SAMARA FAM TR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SAMARA FAM TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MARC SCHIOWITZ appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GABRIEL J SEBBAG appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GABRIEL J SEBBAG appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 February 2024: BETHANY LEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: MISSION MANAGEMENT SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: JENNIFER REITER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: CARESAGE ADMINISTRATIVE CONSULTING, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
31 October 2022: CAMPBELL STREET SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: RUTUL SHAH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: MANAGERCO PRAIRIE ROSE, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ANDREW J SFREDDO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ISAAC S DOLE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ALICE MARIE M CLARK DANKS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: MICHAEL F FLANAGAN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: MISSION MANAGEMENT SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Recent changes on this record

1 July 2026: MARC SCHIOWITZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GABRIEL J SEBBAG no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GABRIEL J SEBBAG no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARC SCHIOWITZ appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GABRIEL J SEBBAG appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GABRIEL J SEBBAG appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 March 2026: MICHAEL F FLANAGAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JENNIFER REITER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CARESAGE ADMINISTRATIVE CONSULTING, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: INVESTCO TABLETOP, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: HOLDCO PRAIRIE ROSE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: HOLDCO TABLETOP, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CEDAR VIEW HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CEDAR VIEW HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SAMARA FAMILY HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CLINICAL CONSULTING SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JENNIFER REITER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JENNIFER REITER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: TINA GREATOREX appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SUMMATION FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: THE BRYN MAWR TRUST COMPANY OF DELAWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CARESAGE ADMINISTRATIVE CONSULTING, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CEDAR VIEW TR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CEDAR VIEW TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: 4614 NW 84TH STREET PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JSJ PROPERTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: AMARANTHINE HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MICHAEL P OCONNER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MICHAEL P OCONNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: IOWA 5784 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: IOWA 5784 LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JSJ 2020 FAMILY TR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SAMARA FAM TR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SAMARA FAM TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MARC SCHIOWITZ appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GABRIEL J SEBBAG appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GABRIEL J SEBBAG appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: enrollment_id changed from O20210707001487 to O20250213003775. Skilled_Nursing_Facility_Enrollments_:_2026-03-01.csv
14 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
27 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	20 May 2025	20 May 2025	34	12
2	1 July 2024	1 July 2024	28	5
3	4 April 2023	4 April 2023	16	4

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

Deficiencies cited

78 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
11 June 2026	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	8 July 2026
11 June 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	Yes	Deficient, Provider has date of correction	8 July 2026
11 June 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	Yes	Deficient, Provider has date of correction	8 July 2026
11 June 2026	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	Yes	Deficient, Provider has date of correction	8 July 2026
11 June 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	8 July 2026
11 June 2026	Health	F 0865	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	F	Yes	Deficient, Provider has date of correction	8 July 2026
11 June 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	8 July 2026
9 April 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	Yes	Deficient, Provider has date of correction	8 July 2026
9 April 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	8 July 2026
9 April 2026	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	Yes	Deficient, Provider has date of correction	8 July 2026
9 April 2026	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	8 July 2026
9 April 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	8 July 2026
11 February 2026	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	Yes	Deficient, Provider has date of correction	23 February 2026
11 February 2026	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	Yes	Deficient, Provider has date of correction	23 February 2026
11 February 2026	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	23 February 2026
11 February 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	Yes	Deficient, Provider has date of correction	8 July 2026
11 February 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	23 February 2026
11 February 2026	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.	G	Yes	Deficient, Provider has date of correction	8 July 2026
11 February 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	8 July 2026
22 October 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	7 November 2025
22 October 2025	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.	K	Yes	Past Non-Compliance	9 October 2025
22 October 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	7 November 2025
20 May 2025	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	13 June 2025
20 May 2025	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	13 June 2025
20 May 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	13 June 2025
20 May 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.	G	Yes	Deficient, Provider has date of correction	13 June 2025
20 May 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	13 June 2025
20 May 2025	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	Yes	Deficient, Provider has date of correction	13 June 2025
20 May 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	G	Yes	Deficient, Provider has date of correction	13 June 2025
20 May 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	Yes	Deficient, Provider has date of correction	13 June 2025
20 May 2025	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	13 June 2025
20 May 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.	F	Yes	Deficient, Provider has date of correction	13 June 2025
20 May 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	E	No	Deficient, Provider has date of correction	13 June 2025
20 May 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	13 June 2025
13 December 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.	E	Yes	Deficient, Provider has date of correction	17 January 2025
13 December 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E	Yes	Deficient, Provider has date of correction	17 January 2025
13 December 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	Yes	Deficient, Provider has date of correction	17 January 2025
13 December 2024	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	Yes	Deficient, Provider has date of correction	17 January 2025
13 December 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	17 January 2025
13 December 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	17 January 2025
13 December 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	Yes	Deficient, Provider has date of correction	17 January 2025
13 December 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.	D	Yes	Deficient, Provider has date of correction	17 January 2025
13 December 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	J	Yes	Deficient, Provider has date of correction	17 January 2025
13 December 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	Yes	Deficient, Provider has date of correction	17 January 2025
13 December 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	17 January 2025
13 December 2024	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	Yes	Deficient, Provider has date of correction	17 January 2025
15 October 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	7 November 2024
15 October 2024	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	7 November 2024
15 October 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.	D	Yes	Deficient, Provider has date of correction	7 November 2024
7 September 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	Yes	Deficient, Provider has date of correction	25 September 2024
1 July 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	1 August 2024
1 July 2024	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	1 August 2024
1 July 2024	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	Yes	Deficient, Provider has date of correction	1 August 2024
1 July 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	1 August 2024
1 July 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	1 August 2024
1 July 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	1 August 2024
1 July 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	1 August 2024
1 July 2024	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	1 August 2024
1 July 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	1 August 2024
1 July 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.	D	No	Deficient, Provider has date of correction	1 August 2024
1 July 2024	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	D	No	Deficient, Provider has date of correction	1 August 2024
1 July 2024	Health	F 0926	Environmental Deficiencies	Have policies on smoking.	D	No	Deficient, Provider has date of correction	1 August 2024
30 January 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	13 February 2024
30 January 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	13 February 2024
30 January 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	Yes	Deficient, Provider has date of correction	13 February 2024
6 December 2023	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	Yes	Deficient, Provider has date of correction	27 December 2023
6 December 2023	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	27 December 2023
6 December 2023	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	Yes	Deficient, Provider has date of correction	19 December 2023
6 December 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	G	Yes	Deficient, Provider has date of correction	19 December 2023
6 December 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	Yes	Deficient, Provider has date of correction	27 December 2023
7 September 2023	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	29 September 2023
7 September 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	Yes	Deficient, Provider has date of correction	29 September 2023
4 April 2023	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	4 May 2023
4 April 2023	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	C	No	Deficient, Provider has date of correction	4 May 2023
4 April 2023	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.	E	No	Deficient, Provider has date of correction	4 May 2023
4 April 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	4 May 2023
4 April 2023	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	4 May 2023
4 April 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	4 May 2023

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
11 February 2026	Fine	$311,880			137790
11 February 2026	Payment Denial		10 March 2026	120
22 October 2025	Fine	$16,907			135367
12 December 2024	Fine	$71,136			79533
6 December 2023	Fine	$34,902			79353
6 December 2023	Payment Denial		3 January 2024	41

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	ROYAL OAKS NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services	2007-07-09
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Polk
Telephone Number	5152706838
Chain Name	CEDAR VIEW HOLDINGS
Chain ID	888
Special Focus Status	SFF Candidate
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	87.2
Overall Rating	1
Health Inspection Rating	1
QM Rating	3
Long-Stay QM Rating	2
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 1 July 2026: MARC SCHIOWITZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Royal Oaks Nursing and Rehabilitation Center

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