Skilled nursing facility · CMS certification number 215231
Hidden Waters Rehabilitation and Wellness Center
CLINTON, Maryland · Medicare and Medicaid
Certified beds, as filed in Care Compare: 267
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 7 May 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,876,886 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,870,487 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $29,006,399 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $32,431,918 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,425,519 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,745 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,392,774 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,394,560 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 97,722 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,136 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 72,376 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,601 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 81,113 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 67 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 364 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 232 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 663 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 198.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449620, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 November 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,234,221 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,986,267 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,247,954 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,629,578 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,381,624 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $209,495 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,172,129 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,174,296 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 83,679 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 575 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 365.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442408, 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 28 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,948,904 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,742,083 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $28,206,821 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,866,047 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$659,226 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $971,931 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $312,705 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $312,705 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 87,255 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 696 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 76,160 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398132, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,609,153 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,455,622 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,153,531 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,685,563 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,467,968 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $533,389 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,001,357 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,001,357 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 83,888 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 673 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 242.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361221, 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 2 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,626,732 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,164,112 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,462,620 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,911,665 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$449,045 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,691,933 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,242,888 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,277,374 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 85,461 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 817 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 81.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341564, 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 with audit, processed by CMS on 27 July 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $40,412,809 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,602,217 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $29,810,592 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,643,445 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,167,147 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $179,541 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,346,688 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,346,688 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 93,381 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 625 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 168.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328059, 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 23 November 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $39,752,464 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,092,052 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $28,660,412 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,390,030 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,270,382 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $189,346 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,459,728 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,459,728 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 94,709 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 673 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274220, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $37,827,074 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,571,820 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $28,255,254 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,915,501 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,339,753 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $200,689 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,540,442 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,540,442 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 94,055 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 707 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 134.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249687, 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 5 November 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,526,817 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,674,278 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,852,539 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,013,896 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $838,643 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $193,852 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,032,495 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,032,495 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 92,479 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 675 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 121.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1213610, 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 6 March 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,171,530 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $253,458 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,918,072 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,184,802 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,266,730 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $221,390 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,045,340 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,045,340 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 92,671 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 608 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 152.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153827, 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 20 April 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,094,710 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $78,783 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,015,927 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,311,826 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$295,899 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $278,090 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$17,809 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$17,809 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 95,289 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 717 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 132.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122347, 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 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,957,689 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $257,143 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,700,546 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,558,292 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $142,254 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $187,760 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $330,014 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $330,014 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 94,945 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 709 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 133.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104200, 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 19 February 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,911,032 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,313,602 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,224,634 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,354,861 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$130,227 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $245,195 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $114,968 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $114,968 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 95,819 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 431 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 222.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055830, 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 5 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,664,405 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,264,198 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,928,603 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,162,164 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,766,439 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $199,339 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,965,778 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,965,778 (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 | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 93,512 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 647 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 144.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049249, 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 with audit, processed by CMS on 20 April 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $19,277,718 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,292,446 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,014,728 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $158,611 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,856,117 (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 | 267 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 90,801 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 685 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 132.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 427985, 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 13 December 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $20,869,983 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,671,017 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $198,966 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $181,972 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $380,938 (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 | 257 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 85,384 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 475 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 179.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 390964, 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 3 May 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $21,555,537 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,244,723 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $310,814 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $185,636 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $496,450 (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 | 267 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 88,625 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 771 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 114.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368731, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 February 2007 to 31 December 2007 — a reporting period of 333 days, on form CMS-2540-96, reopened, processed by CMS on 30 November 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $19,161,551 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,090,460 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $71,091 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $177,540 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $248,631 (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 | 267 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 84,405 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 628 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 134.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 390135, read from the public cost report file SNFFY2007.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 25 July 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $19,271,076 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,161,048 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,110,028 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $127,706 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,237,734 (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 | 267 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 85,438 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 553 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 635.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 289447, 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 15 November 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,565,586 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,356,919 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $208,667 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $202,818 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $411,485 (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 | 267 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 87,499 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 642 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 192.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 236822, 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 6 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,043,737 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,375,313 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$331,576 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $97,557 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$234,019 (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 | 267 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 86,561 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 446 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 277.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 194.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216176, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 30 September 2002
Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 October 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,336,265 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,659,273 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$8,323,008 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,105,096 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $9,782,088 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 87,932 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 390 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 425.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 225.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 234894, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 30 September 2001
Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 April 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,523,865 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,513,424 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,010,441 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $119,193 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,129,634 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 92,018 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 218 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,169.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 422.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 215108, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 30 September 2000
Cost report for 1 October 1999 to 30 September 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 April 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,773,365 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,459,736 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$686,371 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $61,953 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$624,418 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 93,140 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 407 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 506.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 228.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 215099, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 30 September 1999
Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 5 June 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,579,611 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,318,574 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$738,963 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$113,461 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$852,424 (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 | 284 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 97,942 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 469 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 365.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 208.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 35456, read from the public cost report file SNFFY1999.zip.
Fiscal year 1997, ended 30 September 1997
Cost report for 1 October 1996 to 30 September 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 October 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,585,744 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,455,734 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,130,010 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52,521 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,182,531 (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 | 284 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 97,142 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 460 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 324.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 211.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 88449, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 30 September 1996
Cost report for 1 January 1996 to 30 September 1996 — a reporting period of 273 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 11 January 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,824,169 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,380,181 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $443,988 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $73,589 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $517,577 (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 | 284 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,297 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 573 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 126.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 88447, 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 |
|---|---|---|---|---|
| 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. | Ownership Data Not Available | 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. | 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. | 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. |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CLINTON NURSING, LLC (enrollment ID O20070103000336).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| WO HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| C.R. STOLTZ FAMILY INVESTMENT COMPANY INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6.52 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| C.R. STOLTZ IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6.52 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEALTH CARE HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 93.48 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| I. ROSEDALE FAMILY INVESTMENT COMPANY INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| I. ROSEDALE IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| R.S. WILHEIM IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15.89 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD S WILHEIM 2012 SPOUSAL TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15.27 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROSEDALE FAMILY INVESTMENT COMPANY, INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| RRW, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 93.48 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| S.L. ROSEDALE IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILHEIM FAMILY INVESTMENT COMPANY, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| PV REALTY-CLINTON, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2016 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| ANTIONETTE DOUBLIN | 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. | 6/12/2023 | 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. |
| JENNIFER LEE RIEDINGER | 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. | 1/16/2023 | 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. |
| PV REALTY-CLINTON, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2016 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| STUART MGT, 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. | 4/14/2025 | 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. | 5/29/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHARLES STOLTZ | 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. | 1/19/2016 | 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. |
| DOMINIC A ROMEO | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RONALD WILHEIM | 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. | 1/19/2016 | 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. |
| C.R. STOLTZ FAMILY INVESTMENT COMPANY INC | Organization | INDIRECT OWNERSHIP INTEREST | 6.52 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| C.R. STOLTZ IRREVOCABLE TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 6.52 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEALTH CARE HOLDINGS, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 93.48 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| I. ROSEDALE FAMILY INVESTMENT COMPANY INC | Organization | INDIRECT OWNERSHIP INTEREST | 31.16 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| I. ROSEDALE IRREVOCABLE TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 31.16 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| R.S. WILHEIM IRREVOCABLE TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 15.89 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD S WILHEIM 2012 SPOUSAL TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 15.27 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROSEDALE FAMILY INVESTMENT COMPANY, INC | Organization | INDIRECT OWNERSHIP INTEREST | 31.16 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| RRW, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 93.48 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| S.L. ROSEDALE IRREVOCABLE TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 31.16 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILHEIM FAMILY INVESTMENT COMPANY, INC. | Organization | INDIRECT OWNERSHIP INTEREST | 31.16 | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANTIONETTE DOUBLIN | 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. | 6/12/2023 | 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. |
| DOMINIC A ROMEO | 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. | 4/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DONNA GROVES | 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. | 4/14/2023 | 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. |
| JENNIFER LEE RIEDINGER | 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. | 1/16/2023 | 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. |
| STUART MGT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/19/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: RONALD S WILHEIM 2012 SPOUSAL TRUST no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RONALD S WILHEIM 2012 SPOUSAL TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RONALD S WILHEIM 2012 SPOUSAL TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RONALD S WILHEIM 2012 SPOUSAL TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 August 2025: HEALTH CARE FACILITY MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RICHARD ODENTHAL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WILBER GALEAS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ANTIONETTE DOUBLIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ANTIONETTE DOUBLIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: R.S. WILHEIM IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JENNIFER LEE RIEDINGER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JENNIFER LEE RIEDINGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: S.L. ROSEDALE IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ROSEDALE FAMILY INVESTMENT COMPANY, INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PV REALTY-CLINTON, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PV REALTY-CLINTON, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: I. ROSEDALE FAMILY INVESTMENT COMPANY INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: DONNA GROVES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: HEALTH CARE HOLDINGS, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: STUART MGT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: STUART MGT, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RRW, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WILHEIM FAMILY INVESTMENT COMPANY appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: C.R. STOLTZ IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: DOMINIC A ROMEO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: DOMINIC A ROMEO appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: C.R. STOLTZ FAMILY INVESTMENT COMPANY INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RONALD WILHEIM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: I. ROSEDALE IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RONALD S WILHEIM 2012 SPOUSAL TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- 1 July 2026: RONALD S WILHEIM 2012 SPOUSAL TRUST no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RONALD S WILHEIM 2012 SPOUSAL TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RONALD S WILHEIM 2012 SPOUSAL TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RONALD S WILHEIM 2012 SPOUSAL TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 7 May 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 14 November 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 August 2025: HEALTH CARE FACILITY MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RICHARD ODENTHAL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WILBER GALEAS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ANTIONETTE DOUBLIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ANTIONETTE DOUBLIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: R.S. WILHEIM IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JENNIFER LEE RIEDINGER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JENNIFER LEE RIEDINGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: S.L. ROSEDALE IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ROSEDALE FAMILY INVESTMENT COMPANY, INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PV REALTY-CLINTON, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PV REALTY-CLINTON, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: I. ROSEDALE FAMILY INVESTMENT COMPANY INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: DONNA GROVES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: HEALTH CARE HOLDINGS, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: STUART MGT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: STUART MGT, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RRW, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WILHEIM FAMILY INVESTMENT COMPANY appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: C.R. STOLTZ IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: DOMINIC A ROMEO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: DOMINIC A ROMEO appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: C.R. STOLTZ FAMILY INVESTMENT COMPANY INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RONALD WILHEIM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: I. ROSEDALE IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RONALD S WILHEIM 2012 SPOUSAL TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 28 October 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 7 August 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 2 February 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 27 July 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 23 November 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 22 January 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 5 November 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 12 December 2025 | 12 December 2025 | 13 | 17 |
| 2 | 16 May 2023 | 16 May 2023 | 49 | 25 |
| 3 | 14 March 2019 | 14 March 2019 | 8 | 12 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
70 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 12 December 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 2 February 2026 |
| 12 December 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 2 February 2026 |
| 12 December 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 | 2 February 2026 |
| 12 December 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | 2 February 2026 |
| 12 December 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 2 February 2026 |
| 12 December 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 2 February 2026 |
| 12 December 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | No | Deficient, Provider has date of correction | 2 February 2026 |
| 12 December 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | 2 February 2026 |
| 12 December 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 | No | Deficient, Provider has date of correction | 2 February 2026 |
| 12 December 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 2 February 2026 |
| 4 November 2025 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Yes | Deficient, Provider has date of correction | 29 December 2025 |
| 4 November 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | 29 December 2025 |
| 4 November 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | 29 December 2025 |
| 5 June 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 | 12 August 2025 |
| 5 June 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 | 12 August 2025 |
| 5 June 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 | 12 August 2025 |
| 5 June 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 | 19 September 2025 |
| 5 June 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has date of correction | 19 September 2025 |
| 5 June 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 | 12 August 2025 |
| 5 June 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 12 August 2025 |
| 5 June 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has plan of correction | 12 August 2025 |
| 5 June 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 | 19 September 2025 |
| 6 December 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 19 February 2025 |
| 6 December 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | L | Yes | Deficient, Provider has date of correction | 6 February 2025 |
| 6 December 2024 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Yes | Deficient, Provider has date of correction | 6 February 2025 |
| 6 December 2024 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Yes | Deficient, Provider has date of correction | 6 February 2025 |
| 6 December 2024 | Health | F 0843 | Administration Deficiencies | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | F | Yes | Deficient, Provider has date of correction | 6 February 2025 |
| 16 May 2023 | Health | F 0551 | Resident Rights Deficiencies | Give the resident's representative the ability to exercise the resident's rights. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | 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 | 30 June 2023 |
| 16 May 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | 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. | F | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | 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. | E | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | 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. | E | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | 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 | 30 June 2023 |
| 16 May 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | 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 | 30 June 2023 |
| 16 May 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | 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 | 30 June 2023 |
| 16 May 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | 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 | 30 June 2023 |
| 16 May 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | 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 | 30 June 2023 |
| 16 May 2023 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | No | Deficient, Provider has date of correction | 30 July 2023 |
| 16 May 2023 | Health | F 0917 | Environmental Deficiencies | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | 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. | F | No | Deficient, Provider has date of correction | 28 August 2023 |
| 16 May 2023 | Health | F 0923 | Environmental Deficiencies | Have enough outside ventilation via a window or mechanical ventilation, or both. | F | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0924 | Environmental Deficiencies | Put firmly secured handrails on each side of hallways. | E | No | Deficient, Provider has date of correction | 30 June 2023 |
| 16 May 2023 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | No | Deficient, Provider has date of correction | 30 June 2023 |
| 14 March 2019 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | E | No | Deficient, Provider has date of correction | 27 April 2019 |
| 14 March 2019 | 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 | 27 April 2019 |
| 14 March 2019 | Health | F 0624 | Resident Rights Deficiencies | Prepare residents for a safe transfer or discharge from the nursing home. | D | No | Deficient, Provider has date of correction | 27 April 2019 |
| 14 March 2019 | Health | F 0675 | Quality of Life and Care Deficiencies | Honor each resident's preferences, choices, values and beliefs. | D | No | Deficient, Provider has date of correction | 27 April 2019 |
| 14 March 2019 | 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 | 27 April 2019 |
| 14 March 2019 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 27 April 2019 |
| 14 March 2019 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | 27 April 2019 |
| 14 March 2019 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | No | Deficient, Provider has date of correction | 27 April 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 5 June 2025 | Fine | $11,386 | 133914 | ||
| 3 December 2024 | Fine | $50,697 | 10153 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | Legal Business Name Not Available |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-06-06 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Prince Georges |
| Telephone Number | 3018683600 |
| 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 | 267 |
| Average Number of Residents per Day | 212.8 |
| Overall Rating | 2 |
| Health Inspection Rating | 1 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| 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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On 1 July 2026: RONALD S WILHEIM 2012 SPOUSAL TRUST no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Hidden Waters Rehabilitation and Wellness Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Maryland at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 215231.