Skilled nursing facility · CMS certification number 185382
Countryside Center for Rehabilitation and Nursing
Bardwell, Kentucky · Medicare and Medicaid
Certified beds, as filed in Care Compare: 59
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 26 March 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,153,337 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $393,744 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,759,593 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,127,306 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $632,287 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,189 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $656,476 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $656,476 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 22,326 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,556 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,360 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,717 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 20,633 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 38 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 65 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 77 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 205.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448791, 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 8 May 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,995,233 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $365,338 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,629,895 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,719,085 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$89,190 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$89,172 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$89,172 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,780 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1421851, 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 13 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,840,375 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $455,940 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,384,435 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,164,080 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $220,355 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $224,877 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $445,232 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $445,232 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,269 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 153.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394746, 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 9 November 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,096,254 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $434,361 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,661,893 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,356,376 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $305,517 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $63,657 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $369,174 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $369,174 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,399 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 178.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367803, 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 10 November 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,866,211 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $555,410 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,310,801 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,321,017 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,216 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $133,818 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $123,602 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $123,602 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,118 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 173.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336247, 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 22 April 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,461,937 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $273,200 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,188,737 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,961,879 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $226,858 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,696 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $235,554 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $235,554 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,780 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 149.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282729, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 April 2018 to 31 December 2018 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 11 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,350,211 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $159,595 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,190,616 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,870,447 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $320,169 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,923 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $322,092 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $322,092 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,307 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 386.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236418, 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 21 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,671,337 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,530,007 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,141,330 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,603,626 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$462,296 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,180 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$456,116 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$456,116 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,009 | 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 | 47.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 340 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 193.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207619, 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 14 September 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,483,336 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,423,462 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,059,874 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,563,408 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$503,534 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,877 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$486,657 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$486,657 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,033 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 232.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175919, 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 27 October 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,482,284 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,142,405 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,339,879 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,684,752 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$344,873 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,450 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$336,423 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$336,423 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,765 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 235.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145528, 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 25 February 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,370,343 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $932,648 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,437,695 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,707,413 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$269,718 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,743 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$256,975 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$256,975 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,842 | 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 | 59.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 239.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119525, 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 28 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,004,429 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $829,089 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,175,340 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,271,186 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$95,846 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $220,579 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $124,733 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $124,733 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,279 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 659.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 272.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1091799, 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 29 May 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,911,945 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $708,286 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,203,659 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,083,678 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $119,981 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,025 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $141,006 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $141,006 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,914 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,292.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 321.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1061160, 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 28 March 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,950,068 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $793,244 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,156,824 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,100,087 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $56,737 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,541 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $81,278 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $81,278 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,998 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 789.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 318.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026596, 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 13 August 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,036,043 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,650,169 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $385,874 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,172 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $408,046 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,367 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 206.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 160.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431249, 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 22 April 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,145,100 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,587,012 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $558,088 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,833 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $575,921 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,634 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 11,267 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 355.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397873, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 June 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,884,431 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,446,796 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $437,635 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,958 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $463,593 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,235 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 73 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,079.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 277.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 375531, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 March 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,710,977 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,288,689 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $422,288 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,313 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $433,601 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,787 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 297.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 205.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 336421, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 October 2006 to 31 December 2006 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 24 January 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $887,727 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $778,324 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $109,403 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,210 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $112,613 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 5,342 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 20 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,768 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 267.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300468, read from the public cost report file SNFFY2007.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 November 2006.
None of these figures is carried on this report.
CMS report record 267360, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 February 2006.
None of these figures is carried on this report.
CMS report record 243802, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 July 2005.
None of these figures is carried on this report.
CMS report record 228043, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 November 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,408,217 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,101,073 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $307,144 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,391 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $332,535 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,099 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 99.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 774.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 514.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 163205, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
None of these figures is carried on this report.
CMS report record 139497, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,169,108 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,896,487 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $272,621 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,365 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $325,986 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,159 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 616.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 470.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 21846, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 1 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,787,989 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,753,859 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $34,130 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,575 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $103,705 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,994 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 820.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 499.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 21843, read from the public cost report file SNFFY1999.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CLEARVIEW KY SNF HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 12/01/2021 |
| ZETTER, DAVID | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 04/01/2023 |
| VUJANOVIC, MICK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2021 |
| TURNBOW, AMBER | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/27/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of COUNTRYSIDE CENTER FOR REHABILITATION AND NURSING, LLC (enrollment ID O20180518000969).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| KY M53 SPE OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CLEARVIEW KY SNF HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| HC FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHNZ HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 95 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SWEET HOME MANAGEMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ZANZIPER FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID R ZETTER | Individual | CONTRACTED MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MICK VUJANOVIC | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2021 | 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. |
| AMBER TURNBOW | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/27/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 November 2024: TERESA BELT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: CLEARVIEW HEALTHCARE MANAGEMENT KY LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: MICK VUJANOVIC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: BATYA GORELICK no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: AMBER TURNBOW appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: DAVID R ZETTER appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 January 2023: MICK VUJANOVIC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- 26 March 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 8 May 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 November 2024: TERESA BELT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: CLEARVIEW HEALTHCARE MANAGEMENT KY LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: MICK VUJANOVIC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: BATYA GORELICK no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: AMBER TURNBOW appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: DAVID R ZETTER appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 13 September 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 9 November 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 1 January 2023: MICK VUJANOVIC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 10 November 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 22 April 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 11 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 13 October 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 14 September 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 27 October 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 25 February 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 28 May 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 29 May 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 28 March 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 13 August 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 22 April 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 16 June 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 31 March 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 24 January 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2007.zip
- 27 December 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 30 November 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 28 February 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 18 July 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 17 November 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 7 April 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- 21 February 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- 1 February 2002: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 19 February 2026 | 19 February 2026 | 1 | 10 |
| 2 | 30 January 2025 | 30 January 2025 | 4 | 5 |
| 3 | 18 December 2019 | 18 December 2019 | 3 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 19 February 2026 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | 11 March 2026 |
| 30 January 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 3 March 2025 |
| 30 January 2025 | 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 | No | Deficient, Provider has date of correction | 3 March 2025 |
| 30 January 2025 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | No | Deficient, Provider has date of correction | 3 March 2025 |
| 30 January 2025 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | No | Deficient, Provider has date of correction | 3 March 2025 |
| 18 December 2019 | 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 | 7 February 2020 |
| 18 December 2019 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 7 February 2020 |
| 18 December 2019 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | 7 February 2020 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | COUNTRYSIDE CENTER FOR REHABILITATION AND NURSING, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1993-08-06 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Carlisle |
| Telephone Number | 2706285424 |
| Chain Name | SIMCHA HYMAN & NAFTALI ZANZIPER |
| Chain ID | 580 |
| 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 | 59 |
| Average Number of Residents per Day | 52.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on Countryside Center for Rehabilitation and Nursing: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 26 March 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Countryside Center for Rehabilitation and Nursing
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Kentucky at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 185382.