Skilled nursing facility · CMS certification number 215022
KING DAVID NURSING AND REHABILITATION CENTER
BALTIMORE, Maryland · Medicare and Medicaid
Certified beds, as filed in Care Compare: 100
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 27 May 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,440,356 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,941,688 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,498,668 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,907,312 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,591,356 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $107,471 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,698,827 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,698,827 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 40,260 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 10,909 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,428 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,312 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 36,649 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 196 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 90 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 130 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 416 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 249.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450063, 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, as submitted, processed by CMS on 18 June 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,592,943 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,269,258 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,323,685 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,735,388 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,588,297 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $113,476 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,701,773 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,701,773 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,800 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 398 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 238.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1384385, 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 24 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,271,214 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,624,326 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,646,888 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,215,261 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,431,627 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $133,130 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,564,757 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,564,757 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,412 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 475 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 197.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445533, 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 with audit, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,975,998 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,504,322 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,471,676 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,644,262 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,827,414 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $442,481 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,269,895 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,269,895 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,474 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 437 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 233.99 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436967, 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 16 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,172,211 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,728,552 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,443,659 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,371,056 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,072,603 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $976,811 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,049,414 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,049,414 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,754 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 370 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 274.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342552, 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 21 December 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,433,188 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,881,188 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,552,000 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,891,024 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,660,976 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,336 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,662,312 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,662,311 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,689 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 366 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 306.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307693, 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 11 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,015,722 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,410,507 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,605,215 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,415,450 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,189,765 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $690 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,190,455 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,190,455 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,633 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 310 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 454.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275856, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 March 2017 to 31 December 2017 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on 16 December 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,900,661 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,108,887 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,791,774 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,042,258 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$250,484 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,002 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$247,482 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$247,482 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,101 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 195 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 390.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1247890, 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 30 November 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,749,245 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $17,573 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,731,672 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,635,265 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$903,593 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $334,362 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$569,231 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$569,231 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,694 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 384.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 203.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214597, 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 8 March 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,097,125 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $27,905 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,069,220 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,023,919 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$954,699 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,112 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$940,587 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$994,990 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,104 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 213 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 264.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153980, 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 24 March 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,205,963 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $18,937 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,187,026 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,941,291 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $245,735 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $129,139 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $374,874 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $374,874 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,616 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 374.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121212, 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 25 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,203,015 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $33,689 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,169,326 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,885,151 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $284,175 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,068 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $326,243 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $326,243 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,834 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 379.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076854, 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 27 January 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,140,479 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $104,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,035,720 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,912,095 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $123,625 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,884 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $166,509 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $166,509 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,718 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 250 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 369.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1054172, 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 9 September 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,379,343 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $124,958 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,254,385 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,668,080 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$413,695 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,867 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$370,828 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$370,828 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,453 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 213 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 292.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 142.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047790, 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 29 May 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,246,261 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,498,186 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$251,925 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,252 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$204,673 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,868 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,560.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 338.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429577, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 December 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,292,679 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,694,562 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$401,883 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,895 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$358,988 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,981 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 124 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 595 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 257.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392007, 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 9 June 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,919,838 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,134,769 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$214,931 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $291,274 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $76,343 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,485 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 114 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 521.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 320.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 373189, 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 10 November 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,610,649 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,836,657 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$226,008 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,348 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$188,660 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,554 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 489.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 229.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328177, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 June 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,323,329 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,409,442 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$86,113 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,048 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$47,065 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,057 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 111 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 644.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 360.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 316002, read from the public cost report file SNFFY2006.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 16 October 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,805,356 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,865,058 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$59,702 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,826 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$20,876 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,529 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,707.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 268.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264342, 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 14 November 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,639,882 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,985,428 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $654,454 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,511 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $690,965 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,372 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 231 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 212.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 157.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 236750, 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 13 December 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,150,915 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,466,678 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$315,763 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,773 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$274,990 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,625 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 237 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 214.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202123, 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 14 December 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,974,015 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,918,893 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $55,122 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,840 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $79,962 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,956 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 225 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 208.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202454, 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 26 August 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,553,643 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,486,410 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $67,233 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,966 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $122,199 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,828 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 190.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 160.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 158087, 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 13 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,754,064 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,658,428 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $95,636 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,825 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $149,461 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,694 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 151 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 98.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 281.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 256.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 88033, 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, settled, processed by CMS on 16 January 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,245,424 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,112,961 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $132,463 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,150 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $172,613 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,019 | 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 | 71.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 554.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 396.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 88031, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 12 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,962,469 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,995,333 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$32,864 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,286 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$5,578 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,167 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 80.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 867.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 371.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 88030, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 March 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,174,985 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,163,613 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $11,372 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $59,397 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $70,769 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,192 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 59 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 86.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,243.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 596.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 88028, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 March 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,118,407 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,896,184 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $222,223 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $75,449 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $45,186 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $252,486 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,040 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 105.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 673.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 523.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 88027, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| 4260 GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 10% | since 09/01/2017 |
| KING DAVID EQUITIES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | since 09/01/2017 |
| THE MARKSTEIN GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 10% | since 09/01/2017 |
| KING DAVID REALTY LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/01/2017 |
| 4260 GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2017 |
| BHARAJ, NARENDER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/23/2022 |
| DONATY, DANIEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/17/2023 |
| KING DAVID EQUITIES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2017 |
| KING DAVID REALTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2017 |
| MEISELS, MORRIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2017 |
| STERN, ARYEH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2017 |
| THE MARKSTEIN GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2017 |
| SCHWARTZ, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2025 |
| MEISELS, MORRIS | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/01/2017 |
| JACOBOWITZ, JACOB | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2025 |
| MARKSTEIN, ISAAC | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| SCHWARTZ, JOEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2025 |
| STERN, BEZALEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/30/2025 |
| TENDLER, YITZCHOK | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/08/2025 |
| BHARAJ, NARENDER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/23/2022 |
| DONATY, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/17/2023 |
| SCHWARTZ, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of KING DAVID AT AUTUMN LAKE LLC (enrollment ID O20170324001957).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| 4260 GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10 | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| ARYEH STERN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 60 | 9/1/2017 | 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. |
| KING DAVID EQUITIES LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE MARKSTEIN GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10 | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| KING DAVID REALTY LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| 4260 GROUP 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. | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| ARYEH STERN | 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. | 9/1/2017 | 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. |
| DANIEL DONATY | 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. | 1/17/2023 | 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. |
| KING DAVID EQUITIES 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. | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| KING DAVID REALTY 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. | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| MORRIS MEISELS | 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. | 9/1/2017 | 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. |
| NARENDER BHARAJ | 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. | 7/23/2022 | 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. |
| THE MARKSTEIN GROUP 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. | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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. | 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. | 6/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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. | 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. | 6/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARK SCHWARTZ | 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. | 1/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MORRIS MEISELS | Individual | DIRECT OWNERSHIP INTEREST | 5 | 9/1/2017 | 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. |
| DANIEL DONATY | 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. | 1/17/2023 | 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. |
| MARK SCHWARTZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NARENDER BHARAJ | 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. | 7/23/2022 | 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. |
Changes in ownership
- 1 September 2025: MORRIS MEISELS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JACOB JACOBOWITZ no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KING DAVID REALTY LLC no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: J&J HOME TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: YITZCHOK A TENDLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ARYEH STERN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SAM STERN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JOEL SCHWARTZ no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MORRIS MEISELS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MORRIS MEISELS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KING DAVID REALTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KING DAVID REALTY LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK SCHWARTZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK SCHWARTZ appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: NARENDER BHARAJ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: NARENDER BHARAJ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: THE MARKSTEIN GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ARYEH STERN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DANIEL DONATY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DANIEL DONATY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: 4260 GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KING DAVID EQUITIES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 5 January 2024: ELCHANAN SILVER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
Recent changes on this record
- 27 May 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 24 December 2025: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 1 September 2025: MORRIS MEISELS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JACOB JACOBOWITZ no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KING DAVID REALTY LLC no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: J&J HOME TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: YITZCHOK A TENDLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ARYEH STERN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SAM STERN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JOEL SCHWARTZ no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MORRIS MEISELS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MORRIS MEISELS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KING DAVID REALTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KING DAVID REALTY LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK SCHWARTZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK SCHWARTZ appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: NARENDER BHARAJ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: NARENDER BHARAJ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: THE MARKSTEIN GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ARYEH STERN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DANIEL DONATY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DANIEL DONATY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: 4260 GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KING DAVID EQUITIES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 18 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 5 January 2024: ELCHANAN SILVER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 16 February 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 21 December 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 11 December 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 16 December 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 30 November 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 6 December 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 8 March 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 24 March 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 25 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 27 January 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 9 September 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 29 May 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 21 April 2025 | 21 April 2025 | 31 | 12 |
| 2 | 30 April 2021 | 30 April 2021 | 29 | 8 |
| 3 | 24 October 2018 | 24 October 2018 | 14 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
74 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 17 June 2026 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | Yes | Deficient, Provider has no plan of correction | |
| 27 April 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 27 April 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 26 February 2026 | 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 | 30 April 2026 |
| 26 February 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 26 February 2026 | 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 | 30 April 2026 |
| 26 February 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 26 February 2026 | Health | F 0620 | Resident Rights Deficiencies | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | C | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 26 February 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 26 February 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 26 February 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | E | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 26 February 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 26 February 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 26 February 2026 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 18 September 2025 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Yes | Deficient, Provider has date of correction | 24 October 2025 |
| 18 September 2025 | 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 | 24 October 2025 |
| 18 September 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 24 October 2025 |
| 18 September 2025 | Health | F 0635 | Resident Assessment and Care Planning Deficiencies | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Yes | Deficient, Provider has date of correction | 24 October 2025 |
| 18 September 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 | Yes | Deficient, Provider has date of correction | 24 October 2025 |
| 18 September 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 24 October 2025 |
| 18 September 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | 24 October 2025 |
| 18 September 2025 | Health | F 0909 | Environmental Deficiencies | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Yes | Deficient, Provider has date of correction | 24 October 2025 |
| 21 April 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 15 June 2025 |
| 21 April 2025 | Health | F 0559 | Resident Rights Deficiencies | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Yes | Deficient, Provider has date of correction | 15 June 2025 |
| 21 April 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 15 June 2025 |
| 21 April 2025 | 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 | 15 June 2025 |
| 21 April 2025 | 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 | 15 June 2025 |
| 21 April 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 15 June 2025 |
| 21 April 2025 | 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 | 15 June 2025 |
| 21 April 2025 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | Yes | Deficient, Provider has date of correction | 15 June 2025 |
| 21 April 2025 | 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 | 15 June 2025 |
| 21 April 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 15 June 2025 |
| 21 April 2025 | Health | F 0710 | Nursing and Physician Services Deficiencies | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | No | Deficient, Provider has date of correction | 15 June 2025 |
| 21 April 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 | 15 June 2025 |
| 21 April 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | 15 June 2025 |
| 21 April 2025 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | No | Deficient, Provider has date of correction | 15 June 2025 |
| 30 April 2021 | 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 | 31 May 2021 |
| 30 April 2021 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | 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 | 31 May 2021 |
| 30 April 2021 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | 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 | 31 May 2021 |
| 30 April 2021 | 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 | 31 May 2021 |
| 30 April 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | 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 | 31 May 2021 |
| 30 April 2021 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | 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 | 31 May 2021 |
| 30 April 2021 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | E | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | E | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | 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 | 31 May 2021 |
| 30 April 2021 | 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 | 31 May 2021 |
| 30 April 2021 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | 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. | E | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | 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. | D | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 31 May 2021 |
| 30 April 2021 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | 31 May 2021 |
| 24 October 2018 | 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 | 6 December 2018 |
| 24 October 2018 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | 6 December 2018 |
| 24 October 2018 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | No | Deficient, Provider has date of correction | 6 December 2018 |
| 24 October 2018 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | 6 December 2018 |
| 24 October 2018 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | 6 December 2018 |
| 24 October 2018 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 6 December 2018 |
| 24 October 2018 | 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 | 6 December 2018 |
| 24 October 2018 | 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 | 6 December 2018 |
| 24 October 2018 | 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 | 6 December 2018 |
| 24 October 2018 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | 6 December 2018 |
| 24 October 2018 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 6 December 2018 |
| 24 October 2018 | 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 | 6 December 2018 |
| 24 October 2018 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 6 December 2018 |
| 24 October 2018 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 6 December 2018 |
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 | KING DAVID AT AUTUMN LAKE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1967-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Baltimore |
| Telephone Number | 4104861500 |
| Chain Name | AUTUMN LAKE HEALTHCARE |
| Chain ID | 56 |
| 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 | 100 |
| Average Number of Residents per Day | 103.0 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 5 |
| 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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