Skilled nursing facility · CMS certification number 235259
Harmony Village of Warren
Warren, Michigan · Medicare and Medicaid
Certified beds, as filed in Care Compare: 178
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 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,757,050 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,853,080 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,903,970 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,282,932 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$378,962 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $412,516 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $33,554 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $33,554 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 65,148 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 658 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 44,032 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,692 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 49,382 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 37 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 177 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 163 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 377 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 248.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1434258, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,798,002 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,104,939 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,693,063 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,681,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,988,212 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,415,020 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,573,192 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,573,192 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,469 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 227.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 190.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391547, 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 3 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,579,145 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,194,607 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,384,538 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,102,045 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$717,507 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $536,689 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$180,818 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$180,818 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,986 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 330 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 197.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360829, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 April 2021 to 31 December 2021 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,078,270 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,366,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,711,511 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,187,333 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,475,822 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $624,529 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$851,293 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$851,293 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,965 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 259 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 238.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 142.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333640, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $43,115,012 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $30,837,040 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,277,972 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,589,189 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,311,217 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $808,244 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,502,973 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,502,973 (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 | 185 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,522 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 471 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 441.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314858, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $43,061,854 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $31,951,042 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,110,812 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,866,437 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,755,625 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,826 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,748,799 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,748,799 (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 | 185 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,873 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 262.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300336, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $45,048,083 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $33,216,746 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,831,337 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,594,926 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$763,589 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,086 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$755,503 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$755,503 (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 | 185 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,554 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 419 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 316.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1261164, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $48,988,802 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $36,377,762 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,611,040 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,255,060 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $355,980 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,042 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $363,022 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $363,022 (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 | 185 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 59,291 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 578 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 310.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240745, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 September 2016
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,747,852 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $23,654,536 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,093,316 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,505,491 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $587,825 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,229 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $589,054 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $589,054 (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 | 185 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,592 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 570 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 330.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1187633, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 September 2015
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 March 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,469,675 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,737,191 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,732,484 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,928,174 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$195,690 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,272 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$194,418 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$194,418 (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 | 185 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,082 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 455 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 248.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1154180, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 September 2014
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,912,528 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $841,482 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,071,046 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,712,951 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,641,905 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,449 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,639,456 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,639,456 (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 | 185 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,714 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 443 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 201.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143577, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 30 September 2013
Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,528,264 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,124,591 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,403,673 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,783,076 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $620,597 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,682 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $622,279 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $622,279 (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 | 185 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,211 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 491 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 188.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109071, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 30 September 2012
Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,157,689 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,219,446 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,938,243 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,409,913 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $528,330 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,361 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $530,691 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $530,691 (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 | 185 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 59,607 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 326 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 738.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076624, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 September 2011
Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 September 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,511,806 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,640,002 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$128,196 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,006 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$126,190 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,914 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 512 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 252.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435299, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 30 September 2010
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 October 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,738,473 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,068,305 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$329,832 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,153 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$327,679 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,617 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 225 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 579.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 242.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 419193, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 30 September 2009
Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 March 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,830,765 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,556,387 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $274,378 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,598 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $275,976 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,873 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 394 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 197.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395036, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 30 September 2008
Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 24 November 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,062,925 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,393,404 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$330,479 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$2,398 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$332,877 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,677 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 350 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 258.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 161.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359524, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 30 September 2007
Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 19 November 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,312,655 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,389,227 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$76,572 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,230 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$70,342 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,715 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 459 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 178.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 125.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359322, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 30 September 2006
Cost report for 31 December 2005 to 30 September 2006 — a reporting period of 273 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 16 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,764,224 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,563,573 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $200,651 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,686 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $205,337 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,244 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 132 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,727.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 350.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 350907, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 30 December 2005
Cost report for 1 October 2005 to 30 December 2005 — a reporting period of 90 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 15 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,854,127 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,785,116 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $69,011 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,208 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $70,219 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,883 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,337.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 223.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 350531, read from the public cost report file SNFFY2006.zip.
Fiscal year 2004, ended 30 September 2004
Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 6 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,813,679 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,426,512 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $387,167 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,414 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $417,581 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,347 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 315 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 357.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 194.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216140, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 30 September 2003
Cost report for 1 January 2003 to 30 September 2003 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 April 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,271,661 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,588,111 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $683,550 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,950 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $685,500 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,649 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 225 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 387.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 211.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214631, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 November 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,922,035 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,494,355 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,427,680 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,508,219 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $12,935,899 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,919 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 321 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 396.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 199.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 200104, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,445,701 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,906,365 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,539,336 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $157 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,539,493 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,007 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 346 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 337 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 182.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 143229, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,587,596 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,140,313 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,447,283 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,828 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,450,111 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,678 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 368 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 344.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 125103, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 October 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,281,985 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,675,440 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $606,545 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,680 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $615,225 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,303 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 340 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 412.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 189.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 73289, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 August 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,524,644 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,900,654 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $623,990 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,704 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $663,694 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,029 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 308 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 207.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 76438, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 February 1997 to 31 December 1997 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on 3 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,464,751 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,093,668 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $371,083 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,314 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $388,397 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,721 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 373 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.01 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 160.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 76437, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 30 September 1996
Cost report for 1 October 1995 to 30 September 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 6 November 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,317,929 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,554,245 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $763,684 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,692 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $803,376 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,392 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 263 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 81.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 244.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 76434, 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 |
|---|---|---|---|---|
| BRAXTON, LASHAWNDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/24/2026 |
| DIPASQUA, JASON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2025 |
| FISHMAN, SHMUEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2025 |
| GITBERK LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2025 |
| GITBERK TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2025 |
| HARMONY VILLAGE PROPCO HOLDCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2025 |
| JBL 120 LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2025 |
| JBL 120 TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2025 |
| JM AND MAZEL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2025 |
| MAZEL FAMILY TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2025 |
| ORGEL, JOSEPH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2025 |
| SALEH, MOHAMMAD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/24/2026 |
| WARREN MP REALTY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2025 |
| JM AND MAZEL LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/01/2025 |
| MAZEL FAMILY TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/01/2025 |
| DIPASQUA, JASON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/01/2025 |
| FISHMAN, SHMUEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/01/2025 |
| BRAXTON, LASHAWNDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2025 |
| CHM MI LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2025 |
| HOWARD, SHANNON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2025 |
| SALEH, MOHAMMAD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2025 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WARREN MP OPCO LLC (enrollment ID O20260202000384).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HARMONY VILLAGE OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| GITBERK LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7 | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| GITBERK TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7 | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| INDIGO MICHIGAN NH1 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35 | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JASON DIPASQUA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 29.25 | 11/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JBL 120 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7 | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JBL 120 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7 | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JM AND MAZEL LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7 | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JOSEPH ORGEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14 | 11/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHMUEL FISHMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35.75 | 11/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GITBERK LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| GITBERK TRUST | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HARMONY VILLAGE PROPCO HOLDCO LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JASON DIPASQUA | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JBL 120 LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JBL 120 TRUST | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JM AND MAZEL LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JOSEPH ORGEL | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LASHAWNDA BRAXTON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/24/2026 | 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. |
| MAZEL FAMILY TRUST | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MOHAMMAD SALEH | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/24/2026 | 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. |
| SHMUEL FISHMAN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WARREN MP REALTY HOLDINGS LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JM AND MAZEL LLC | Organization | INDIRECT OWNERSHIP INTEREST | 7 | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| MAZEL FAMILY TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 7 | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON DIPASQUA | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHMUEL FISHMAN | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHM MI LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LASHAWNDA BRAXTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MOHAMMAD SALEH | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHANNON HOWARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: KATHLEEN TOLBERT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HARI R MALI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HARI R MALI 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: MISSION POINT METRO HOLDING LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: THOMAS BEAUVAIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SMV WARREN LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LASHAWNDA BRAXTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LASHAWNDA BRAXTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHANNON HOWARD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JBL 120 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JBL 120 LLC 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: MAZEL FAMILY TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MAZEL FAMILY TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HARMONY VILLAGE OPCO HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON DIPASQUA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON DIPASQUA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON DIPASQUA 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: JM AND MAZEL LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JM AND MAZEL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JM AND MAZEL LLC 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: INDIGO MICHIGAN NH1 LLC 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: JBL 120 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JBL 120 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 July 2026: MOHAMMAD SALEH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MOHAMMAD SALEH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WARREN MP REALTY HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HARMONY VILLAGE PROPCO HOLDCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GITBERK LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GITBERK LLC 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: GITBERK TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GITBERK 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 July 2026: CHM MI LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOSEPH ORGEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOSEPH ORGEL 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: SHMUEL FISHMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHMUEL FISHMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHMUEL FISHMAN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- 1 July 2026: KATHLEEN TOLBERT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HARI R MALI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HARI R MALI 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: MISSION POINT METRO HOLDING LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: THOMAS BEAUVAIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SMV WARREN LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LASHAWNDA BRAXTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LASHAWNDA BRAXTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHANNON HOWARD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JBL 120 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JBL 120 LLC 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: MAZEL FAMILY TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MAZEL FAMILY TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HARMONY VILLAGE OPCO HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON DIPASQUA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON DIPASQUA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON DIPASQUA 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: JM AND MAZEL LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JM AND MAZEL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JM AND MAZEL LLC 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: INDIGO MICHIGAN NH1 LLC 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: JBL 120 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JBL 120 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 July 2026: MOHAMMAD SALEH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MOHAMMAD SALEH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WARREN MP REALTY HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HARMONY VILLAGE PROPCO HOLDCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GITBERK LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GITBERK LLC 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: GITBERK TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GITBERK 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 July 2026: CHM MI LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOSEPH ORGEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOSEPH ORGEL 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: SHMUEL FISHMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHMUEL FISHMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHMUEL FISHMAN 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: enrollment_id changed from O20210412002566 to O20260202000384. Skilled_Nursing_Facility_Enrollments_:_2026-07-01.csv
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 8 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 7 May 2025 | 7 May 2025 | 11 | 4 |
| 2 | 28 March 2024 | 28 March 2024 | 28 | 8 |
| 3 | 21 December 2022 | 21 December 2022 | 29 | 8 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
68 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 12 May 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 13 May 2026 |
| 7 May 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 7 May 2025 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 7 May 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 7 May 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 7 May 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 7 May 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 7 May 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 7 May 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 5 June 2025 |
| 7 May 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 | 5 June 2025 |
| 7 May 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 5 June 2025 |
| 17 April 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | 2 May 2025 |
| 8 April 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 25 April 2025 |
| 8 April 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 25 April 2025 |
| 14 November 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Yes | Deficient, Provider has date of correction | 26 November 2024 |
| 17 September 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 | 30 September 2024 |
| 13 August 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 26 August 2024 |
| 3 July 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. | D | Yes | Deficient, Provider has date of correction | 20 July 2024 |
| 3 July 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Yes | Deficient, Provider has date of correction | 20 July 2024 |
| 28 March 2024 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | 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 | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | C | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0729 | Nursing and Physician Services Deficiencies | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0807 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | 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 | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | No | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | F | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 28 March 2024 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 19 January 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 24 February 2024 |
| 19 January 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 24 February 2024 |
| 19 January 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | 24 February 2024 |
| 19 January 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Yes | Deficient, Provider has date of correction | 24 February 2024 |
| 10 January 2024 | 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 | 2 February 2024 |
| 10 January 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 2 February 2024 |
| 10 January 2024 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | Yes | Deficient, Provider has date of correction | 2 February 2024 |
| 20 September 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 3 October 2023 |
| 21 December 2022 | Health | F 0563 | Resident Rights Deficiencies | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | F | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | Health | F 0576 | Resident Rights Deficiencies | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | 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 | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | 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 | 19 January 2023 |
| 21 December 2022 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | 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 | 19 January 2023 |
| 21 December 2022 | 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 | 19 January 2023 |
| 21 December 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | 19 January 2023 |
| 21 December 2022 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | No | Deficient, Provider has date of correction | 19 January 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 8 April 2025 | Fine | $83,899 | 59110 | ||
| 10 January 2024 | Fine | $15,879 | 58886 | ||
| 10 January 2024 | Payment Denial | 13 February 2024 | 11 | ||
| 11 December 2023 | Fine | $3,496 | 58789 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | WARREN MP OPCO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-06-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Macomb |
| Telephone Number | 5867590700 |
| Chain Name | CERTUS HEALTHCARE |
| Chain ID | 132 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 178 |
| Average Number of Residents per Day | 117.9 |
| Overall Rating | 2 |
| Health Inspection Rating | 1 |
| QM Rating | 5 |
| Long-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.
Get an email when this record changes
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: KATHLEEN TOLBERT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Harmony Village of Warren
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 Michigan 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 235259.