Skilled nursing facility · CMS certification number 175490

LEGACY AT HERINGTON

HERINGTON, Kansas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 45

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 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$3,011,479	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$457,510	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,468,989	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,783,638	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$314,649	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$22,942	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$337,591	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$337,591 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	16,470	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	628	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	7,198	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	3,030	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	10,856	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	5	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	13	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	6	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	24	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	125.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	553.69	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	452.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438670, 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 30 April 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$2,746,709	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$286,878	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,033,587	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,498,656	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$465,069	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$635,311	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$170,242	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $170,242 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,029	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	26	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	77.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	546.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	424.19	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1421801, 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 18 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$2,558,845	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$81,780	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,477,065	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,702,768	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$225,703	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$44,129	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$181,574	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$181,574 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,214	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	27	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	198	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	271.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	378.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1364890, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$2,044,104	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$85,985	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,958,119	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,845,839	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$887,720	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$244,105	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$643,615	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$643,615 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	7,919	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	25	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	87.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	424.69	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	316.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332721, 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 1 December 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$2,652,562	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$86,519	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,566,043	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,320,149	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$754,106	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$548,773	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$205,333	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$205,333 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,363	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	31	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	655.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	334.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305788, 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 23 October 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$2,722,010	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$78,380	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,643,630	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,264,434	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$620,804	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$262,232	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$358,572	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$358,572 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,321	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	262	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	51.74	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	47.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1272280, 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 13 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,254,075	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$52,826	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,201,249	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,360,688	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$159,439	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$335,468	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$176,029	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $176,029 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,007	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	91	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	413.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	168.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	153.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240560, 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 19 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$2,620,333	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$142,562	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,762,895	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,317,703	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$554,808	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$242,660	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$312,148	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$312,148 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,109	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	83	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	117.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	253.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	169.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200756, 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 28 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$2,457,474	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$60,507	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,396,967	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,983,113	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$586,146	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$428,132	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$158,014	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$158,014 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,772	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	98	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	165.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	75.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	140.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171175, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 November 2015 to 31 December 2015 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 18 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$399,719	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,506	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$396,213	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$398,349	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,136	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,965	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$829	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $829 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	2,043	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	6	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	1,052	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	340.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141802, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2014, ended 31 October 2014

Cost report for 1 November 2013 to 31 October 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 May 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$2,163,223	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$132,772	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,030,451	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,234,454	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$204,003	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$308,846	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$104,843	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $104,843 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	765	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	15	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1089762, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 October 2013

Cost report for 1 November 2012 to 31 October 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 May 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$1,966,245	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$63,844	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,902,401	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,182,816	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$280,415	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$372,482	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$92,067	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $92,067 (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	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,832	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	14	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	76.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	916.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1059419, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 October 2012

Cost report for 1 November 2011 to 31 October 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 May 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$1,905,333	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$15,977	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,889,356	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,225,511	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$336,155	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$294,305	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$41,850	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$41,850 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,041	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	34	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	110.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	354.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1029167, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 October 2011

Cost report for 1 November 2010 to 31 October 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 May 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$2,371,171	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,355,578	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$15,593	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$201,832	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$971	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $216,454 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	45	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	622	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	9	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	69.11	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	69.11	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 429332, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended 31 October 2010

Cost report for 1 November 2009 to 31 October 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 April 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,135,460	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,246,870	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$111,410	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$351,987	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$952	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $239,625 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,345	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	79	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.69	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	194.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398217, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 October 2009

Cost report for 1 November 2008 to 31 October 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 May 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$1,950,134	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,369,820	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$419,686	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$299,508	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$47,316	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$167,494 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,294	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	56	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.19	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	273.11	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 368984, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 October 2008

Cost report for 1 November 2007 to 31 October 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 20 May 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$1,996,499	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,204,485	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$207,986	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$214,897	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$6,025	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $886 (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	83	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,552	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	69	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	239.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 339585, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 October 2007

Cost report for 1 November 2006 to 31 October 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 May 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$1,993,162	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,231,713	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$238,551	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$323,323	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $84,772 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,917	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	33	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	523	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	512.64	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 309269, 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
HERINGTON REALCO, LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 11/01/2015
AUSTIN, FELICIA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/25/2023
BRYANT, RODNEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2018
BUSH, STEPHANIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/05/2024
CAMPBELL STREET SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/13/2025
DOLE, ISAAC	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2015
FISHFELD, JORDAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2015
HERINGTON REALCO, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/01/2015
KS PORTFOLIO INVESTOR, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/01/2015
KS PORTFOLIO MANAGER, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/12/2025
KS PORTFOLIO MASTER HOLDCO, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/01/2015
KS PORTFOLIO MASTER SNF HOLDCO, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/01/2015
KS PORTFOLIO SPONSOR, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/01/2015
MENDELOVITZ, ISIDORE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2015
NKERO INVESTMENTS LTD LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/01/2015
SEEGER, GREGORY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2022
TOLIA, KIRIT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2015
TOLIA, SANJAY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2015
TOLIA, VINAY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2015
KS PORTFOLIO MASTER SNF HOLDCO, LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 11/01/2015
DOLE, ISAAC	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 11/01/2015
FISHFELD, JORDAN	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 11/01/2015
KS PORTFOLIO INVESTOR, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 11/01/2015
KS PORTFOLIO MASTER HOLDCO, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 11/01/2015
KS PORTFOLIO SPONSOR, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 11/01/2015
MENDELOVITZ, ISIDORE	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 11/01/2015
NKERO INVESTMENTS LTD LLP	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 11/01/2015
TOLIA, KIRIT	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 11/01/2015
TOLIA, SANJAY	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 11/01/2015
TOLIA, VINAY	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 11/01/2015
AUSTIN, FELICIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/25/2023
BRYANT, RODNEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2018
BUSH, STEPHANIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/05/2024
CAMPBELL STREET SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2022
DOLE, ISAAC	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2015
KS PORTFOLIO MANAGER, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/01/2015
SEEGER, GREGORY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HERINGTON OPCO, LLC (enrollment ID O20160107002626).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
KS PORTFOLIO MASTER SNF HOLDCO, LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: Yes
KS PORTFOLIO INVESTOR, LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	95	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
KS PORTFOLIO MASTER HOLDCO, LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: Yes
KS PORTFOLIO SPONSOR, LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
NKERO INVESTMENTS LTD LLP	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	9.77	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
HERINGTON REALCO, LLC	Organization	5% OR GREATER MORTGAGE INTEREST	100	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
CAMPBELL STREET 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.	3/13/2025	Private equity company: No Real estate investment trust: No Holding company: No
FELICIA AUSTIN	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.	1/25/2023	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.
GREGORY S SEEGER	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.	3/1/2022	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.
HERINGTON REALCO, 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.	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
ISAAC S DOLE	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.	11/1/2015	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.
ISIDORE MENDELOVITZ	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.	11/1/2015	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.
JORDAN FISHFELD	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.	11/1/2015	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.
KIRIT K TOLIA	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.	11/1/2015	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.
KS PORTFOLIO INVESTOR, 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.	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
KS PORTFOLIO MANAGER, 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.	3/12/2025	Private equity company: No Real estate investment trust: No Holding company: No
KS PORTFOLIO MASTER HOLDCO, 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.	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: Yes
KS PORTFOLIO MASTER SNF HOLDCO, 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.	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: Yes
KS PORTFOLIO SPONSOR, 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.	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
NKERO INVESTMENTS LTD LLP	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.	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
RODNEY K BRYANT	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.	1/1/2018	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.
SANJAY TOLIA	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.	11/1/2015	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.
STEPHANIE BUSH	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.	2/5/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VINAY TOLIA	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.	11/1/2015	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.
KS PORTFOLIO MASTER SNF HOLDCO, LLC	Organization	DIRECT OWNERSHIP INTEREST	100	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: Yes
ISAAC S DOLE	Individual	INDIRECT OWNERSHIP INTEREST	0.02	11/1/2015	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.
ISIDORE MENDELOVITZ	Individual	INDIRECT OWNERSHIP INTEREST	16.29	11/1/2015	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.
JORDAN FISHFELD	Individual	INDIRECT OWNERSHIP INTEREST	11.1	11/1/2015	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.
KIRIT K TOLIA	Individual	INDIRECT OWNERSHIP INTEREST	6.52	11/1/2015	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.
KS PORTFOLIO INVESTOR, LLC	Organization	INDIRECT OWNERSHIP INTEREST	95	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
KS PORTFOLIO MASTER HOLDCO, LLC	Organization	INDIRECT OWNERSHIP INTEREST	100	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: Yes
KS PORTFOLIO SPONSOR, LLC	Organization	INDIRECT OWNERSHIP INTEREST	5	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
NKERO INVESTMENTS LTD LLP	Organization	INDIRECT OWNERSHIP INTEREST	9.77	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
SANJAY TOLIA	Individual	INDIRECT OWNERSHIP INTEREST	5.7	11/1/2015	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.
VINAY TOLIA	Individual	INDIRECT OWNERSHIP INTEREST	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.	11/1/2015	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.
CAMPBELL STREET SERVICES LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	3/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
FELICIA AUSTIN	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.	1/25/2023	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.
GREGORY S SEEGER	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.	3/1/2022	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.
ISAAC S DOLE	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.	11/1/2015	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.
KS PORTFOLIO MANAGER, 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.	11/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
RODNEY K BRYANT	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.	1/1/2018	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.
STEPHANIE BUSH	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.	2/5/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: STEPHANIE BUSH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ARBOR SPRINGS, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MASTER SNF HOLDCO, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISAAC S DOLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISAAC S DOLE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MANAGER, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HERINGTON REALCO, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HERINGTON REALCO, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MANAGER, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NKERO INVESTMENTS LTD LLP appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NKERO INVESTMENTS LTD LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NKERO INVESTMENTS LTD LLP 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: KS PORTFOLIO SPONSOR, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO SPONSOR, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KIRIT K TOLIA appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KIRIT K TOLIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SANJAY TOLIA appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SANJAY TOLIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CAMPBELL STREET SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MASTER SNF HOLDCO, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MASTER SNF HOLDCO, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MASTER SNF HOLDCO, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JORDAN FISHFELD appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JORDAN FISHFELD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO INVESTOR, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO INVESTOR, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RODNEY K BRYANT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RODNEY K BRYANT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MASTER HOLDCO, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MASTER HOLDCO, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FELICIA AUSTIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FELICIA AUSTIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHANIE BUSH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHANIE BUSH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GREGORY S SEEGER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GREGORY S SEEGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: VINAY TOLIA appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: VINAY TOLIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISIDORE MENDELOVITZ appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISIDORE MENDELOVITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISAAC S DOLE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISAAC S DOLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISAAC S DOLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2024: KS PORTFOLIO MANAGER, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: ALLISON KAY KING no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: CAMPBELL STREET SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: STEPHANIE BUSH appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv

Recent changes on this record

1 July 2026: STEPHANIE BUSH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ARBOR SPRINGS, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MASTER SNF HOLDCO, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISAAC S DOLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISAAC S DOLE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MANAGER, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HERINGTON REALCO, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HERINGTON REALCO, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MANAGER, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NKERO INVESTMENTS LTD LLP appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NKERO INVESTMENTS LTD LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NKERO INVESTMENTS LTD LLP 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: KS PORTFOLIO SPONSOR, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO SPONSOR, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KIRIT K TOLIA appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KIRIT K TOLIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SANJAY TOLIA appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SANJAY TOLIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CAMPBELL STREET SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MASTER SNF HOLDCO, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MASTER SNF HOLDCO, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MASTER SNF HOLDCO, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JORDAN FISHFELD appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JORDAN FISHFELD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO INVESTOR, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO INVESTOR, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RODNEY K BRYANT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RODNEY K BRYANT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MASTER HOLDCO, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KS PORTFOLIO MASTER HOLDCO, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FELICIA AUSTIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FELICIA AUSTIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHANIE BUSH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHANIE BUSH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GREGORY S SEEGER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GREGORY S SEEGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: VINAY TOLIA appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: VINAY TOLIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISIDORE MENDELOVITZ appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISIDORE MENDELOVITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	31 October 2024	31 October 2024	14	20
2	22 May 2023	22 May 2023	22	19
3	27 September 2021	27 September 2021	8	15

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

Deficiencies cited

44 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
31 October 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	17 November 2024
31 October 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	17 November 2024
31 October 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	No	Deficient, Provider has date of correction	17 November 2024
31 October 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.	D	No	Deficient, Provider has date of correction	17 November 2024
31 October 2024	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	17 November 2024
31 October 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	17 November 2024
31 October 2024	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	No	Deficient, Provider has date of correction	17 November 2024
31 October 2024	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	17 November 2024
31 October 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	17 November 2024
31 October 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	No	Deficient, Provider has date of correction	17 November 2024
31 October 2024	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	F	No	Deficient, Provider has date of correction	17 November 2024
31 October 2024	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	No	Deficient, Provider has date of correction	17 November 2024
31 October 2024	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	No	Deficient, Provider has date of correction	17 November 2024
31 October 2024	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	17 November 2024
3 April 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	18 April 2024
3 April 2024	Health	F 0563	Resident Rights Deficiencies	Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.	D	Yes	Deficient, Provider has date of correction	18 April 2024
3 April 2024	Health	F 0564	Resident Rights Deficiencies	Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.	D	Yes	Deficient, Provider has date of correction	18 April 2024
20 September 2023	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	9 October 2023
20 September 2023	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	Yes	Deficient, Provider has date of correction	9 October 2023
22 May 2023	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	5 July 2023
22 May 2023	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J	No	Deficient, Provider has date of correction	5 July 2023
22 May 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.	D	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	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	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	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	No	Past Non-Compliance	24 April 2023
22 May 2023	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	5 July 2023
22 May 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	5 July 2023
22 May 2023	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	5 July 2023
22 May 2023	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	Health	F 0779	Administration Deficiencies	Keep signed and dated reports of x-rays and other diagnostic services in the residents record.	D	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	F	No	Deficient, Provider has date of correction	5 July 2023
22 May 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.	F	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	Health	F 0835	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	F	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	Health	F 0867	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	F	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	F	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	F	No	Deficient, Provider has date of correction	5 July 2023
22 May 2023	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	5 July 2023
22 May 2023	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	D	No	Deficient, Provider has date of correction	5 July 2023
27 September 2021	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	8 October 2021
27 September 2021	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	8 October 2021
27 September 2021	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	8 October 2021

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

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Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Individual
Legal Business Name	HERINGTON OPCO, LLC
Date First Approved to Provide Medicare and Medicaid Services	2006-05-09
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Dickinson
Telephone Number	7852582283
Chain Name	CAMPBELL STREET SERVICES
Chain ID	99
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	45
Average Number of Residents per Day	25.2
Overall Rating	1
Health Inspection Rating	1
QM Rating	4
Long-Stay QM Rating	4
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: STEPHANIE BUSH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for LEGACY AT HERINGTON

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