Skilled nursing facility · CMS certification number 235526

Boulder Park Terrace

Charlevoix, Michigan · Medicare and Medicaid

Certified beds, as filed in Care Compare: 72

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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 March 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$8,975,293	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,738,445	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,236,848	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,417,378	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,180,530	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$744,998	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$435,532	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$435,532 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	26,352	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,934	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	12,237	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,405	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	21,576	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	52	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	31	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	142	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	225	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.19	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	394.74	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	95.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405101, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 March 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$9,581,252	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,622,314	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,958,938	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,495,799	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$536,861	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,133,947	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$597,086	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $597,086 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,917	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	168	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	661	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	136.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1374779, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$8,533,494	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,316,422	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,217,072	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,887,166	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$670,094	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$389,083	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$281,011	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$281,011 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,781	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	136	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	720.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	160.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344282, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$9,270,496	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,322,299	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,948,197	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,403,298	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$455,101	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,291,445	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$836,344	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $836,344 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,649	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	137	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	425.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	165.32	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313664, 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 24 March 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$8,908,100	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,122,678	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,785,422	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,612,676	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$172,746	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$229,501	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$402,247	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $263,247 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,302	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	209	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.77	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	319.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	106.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281637, 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 26 March 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$9,639,910	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,963,280	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,676,630	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,536,084	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$140,546	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$429,027	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$569,573	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $449,573 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,558	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	248	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	266.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	90.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1253274, 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 20 March 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$10,313,785	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,621,046	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,692,739	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,210,015	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$482,724	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$73,691	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$556,415	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $456,415 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,958	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	283	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	320.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	81.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1221505, 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 2 May 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$9,897,428	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,494,641	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,402,787	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,875,833	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$526,954	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$51,991	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$578,945	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $323,981 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,702	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	230	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	721.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	94.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188196, 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 25 April 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$8,757,234	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,053,839	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,703,395	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,414,849	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$288,546	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$144,789	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$433,335	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $325,184 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,233	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	297	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	687.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	68.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1156344, 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 28 April 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,088,989	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,467,930	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,621,059	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,324,200	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$296,859	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$166,428	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$463,287	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $463,287 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,594	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	315	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	339.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	65.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1122882, 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 16 April 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$7,669,675	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,707,550	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,962,125	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,830,820	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$131,305	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$429,783	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$561,088	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $553,549 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,708	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	315	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.66	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	62.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1088111, 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 16 April 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$6,810,876	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,915,693	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,895,183	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,796,167	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$99,016	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$440,403	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$539,419	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $531,526 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,564	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	241	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	85.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1088447, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 September 2012

Cost report for 1 January 2012 to 30 September 2012 — a reporting period of 273 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 April 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,964,940	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,364,698	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,600,242	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,258,765	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$341,477	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,019,352	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,360,829	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,360,828 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,401	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	124	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	124.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1027391, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$6,058,940	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,382,237	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,676,703	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,326,900	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$349,803	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$45,877	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$395,680	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $387,025 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,881	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	223	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	18.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	538.71	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	71.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1017725, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,509,891	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,213,942	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$295,949	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$66,231	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,737	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $360,443 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,749	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	235	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	18.32	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	632.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	84.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417293, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,332,893	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,017,006	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$315,887	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$91,554	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$3,077	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $404,364 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,458	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	254	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	16.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	418.03	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	76.61	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 380649, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 4 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$4,384,476	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,199,776	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$184,700	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$93,652	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$11,979	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $266,373 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,358	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	250	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	16.64	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	687.94	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	81.43	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 353792, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 November 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,119,257	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,016,039	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$103,218	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$67,987	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $171,205 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,463	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	287	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	16.98	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	401.72	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	67.82	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 328395, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 April 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,021,804	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,876,579	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$145,225	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$76,366	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$2,746	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $218,845 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,283	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	192	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	17.3	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	666.45	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	105.64	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 307849, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 May 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,868,302	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,838,002	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$30,300	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$36,098	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $66,398 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,734	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	227	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	15.83	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	716.56	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	91.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 276633, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 30 September 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,967,871	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,800,961	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$166,910	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$36,775	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $203,685 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,903	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	233	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.15	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	354.52	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	89.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 234014, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 September 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$3,730,971	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,025,250	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$294,279	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$58,194	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$3,321	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$239,406 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,603	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	289	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.92	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	402.58	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	71.29	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 232955, 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, as submitted, processed by CMS on 11 August 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$3,786,807	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,728,207	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$58,600	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$45,141	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$17,923	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $85,818 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,883	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	264	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	385.4	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	79.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 156656, 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 8 July 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$3,651,573	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,411,297	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$240,276	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$72,050	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$3,168	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $309,158 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,291	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	221	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	24.11	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	461.87	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	96.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 152840, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$3,443,399	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,146,251	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$297,148	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$69,444	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$2,916	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $363,676 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,704	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	292	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.68	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	235	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	70.9	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 125959, 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 31 August 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$3,060,883	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,637,567	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$576,684	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$307,391	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$2,652	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$271,945 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,722	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	307	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.53	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	299.09	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	67.5	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 69496, 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 24 July 2001.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$2,879,970	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,162,372	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$282,402	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$157,316	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$3,171	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$128,257 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,586	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	288	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.98	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	446.26	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	71.48	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 69495, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 7 August 2000.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$4,767,860	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,730,024	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$2,037,836	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$159,587	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $2,197,423 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,456	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	309	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.04	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	293.09	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	66.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 77207, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 13 January 2000.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$2,592,903	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,420,313	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$172,590	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$75,469	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $248,059 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,219	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	261	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.96	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	323.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	73.64	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 77204, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
MCLAREN NORTHERN MICHIGAN	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	75%	since 01/01/2013
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	25%	since 06/10/1992
ATCHISON, GARFIELD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/27/2023
MCCLELLAN, ELIZABETH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2025
MCLAREN HEALTH CARE CORPORATION	ADP OF THE SNF	Organization	NOT APPLICABLE	since 09/16/2025
PRUSAITIS, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/29/2021
WONSKI, CATHY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/16/2025
MCCLELLAN, ELIZABETH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/01/2025
WONSKI, CATHY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/01/2025
ATCHISON, GARFIELD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 11/27/2023
INCARNATI, PHILIP	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 09/16/2025
PRUSAITIS, MICHAEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/29/2021
SCHROEDER, JOANNE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 06/19/2017
MCLAREN HEALTH CARE CORPORATION	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2013
ATCHISON, GARFIELD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/27/2023
MCCLELLAN, ELIZABETH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2025
PRUSAITIS, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/29/2021
WONSKI, CATHY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2025
ATCHISON, GARFIELD	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 11/27/2023
INCARNATI, PHILIP	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 09/16/2025
MCCLELLAN, ELIZABETH	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2025
PRUSAITIS, MICHAEL	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 03/29/2021
SCHROEDER, JOANNE	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 06/19/2017
WONSKI, CATHY	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CHARLEVOIX NURSING HOME CORPORATION (enrollment ID O20120518000435).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
MCLAREN NORTHERN MICHIGAN	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	75	1/1/2013	Private equity company: No Real estate investment trust: No Holding company: No
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	25	6/10/1992	Private equity company: No Real estate investment trust: No Holding company: No
CATHY A WONSKI	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/16/2025	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.
ELIZABETH MCCLELLAN	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.	8/1/2025	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.
GARFIELD H ATCHISON	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.	11/27/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MCLAREN HEALTH CARE CORPORATION	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/16/2025	Private equity company: No Real estate investment trust: No Holding company: No
MICHAEL PRUSAITIS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/29/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CATHY A WONSKI	Individual	CORPORATE DIRECTOR	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.	8/1/2025	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.
ELIZABETH MCCLELLAN	Individual	CORPORATE DIRECTOR	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.	8/1/2025	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.
GARFIELD H ATCHISON	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/27/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOANNE SCHROEDER	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/19/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL PRUSAITIS	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/29/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PHILIP A INCARNATI	Individual	CORPORATE OFFICER	0	9/16/2025	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.
MCLAREN HEALTH CARE CORPORATION	Organization	INDIRECT OWNERSHIP INTEREST	100	1/1/2013	Private equity company: No Real estate investment trust: No Holding company: No
CATHY A WONSKI	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.	8/1/2025	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.
ELIZABETH MCCLELLAN	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.	8/1/2025	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.
GARFIELD H ATCHISON	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.	11/27/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL PRUSAITIS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/29/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CATHY A WONSKI	Individual	TRUSTEE 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.	8/1/2025	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.
ELIZABETH MCCLELLAN	Individual	TRUSTEE 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.	8/1/2025	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.
GARFIELD H ATCHISON	Individual	TRUSTEE 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.	11/27/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOANNE SCHROEDER	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/19/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL PRUSAITIS	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/29/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PHILIP A INCARNATI	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/16/2025	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 April 2026: ANDREA H NAYLOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DEBORAH SAUR-MACKENZIE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DEBORAH SAUR-MACKENZIE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TODD BURCH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DOUGLAS S PETERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ELIZABETH MCCLELLAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ELIZABETH MCCLELLAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ELIZABETH MCCLELLAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ELIZABETH MCCLELLAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MICHAEL PRUSAITIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MICHAEL PRUSAITIS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MICHAEL PRUSAITIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MICHAEL PRUSAITIS appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CATHY A WONSKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CATHY A WONSKI appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CATHY A WONSKI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CATHY A WONSKI appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MCLAREN HEALTH CARE CORPORATION appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MCLAREN HEALTH CARE CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: GARFIELD H ATCHISON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: GARFIELD H ATCHISON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: GARFIELD H ATCHISON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: GARFIELD H ATCHISON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: PHILIP A INCARNATI appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: PHILIP A INCARNATI appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOANNE SCHROEDER appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 September 2025: RICHARD L FISH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2024: RICHARD SEGUIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
30 November 2022: DAVID M ZECHMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: TODD BURCH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv

Recent changes on this record

1 April 2026: ANDREA H NAYLOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DEBORAH SAUR-MACKENZIE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DEBORAH SAUR-MACKENZIE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TODD BURCH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DOUGLAS S PETERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ELIZABETH MCCLELLAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ELIZABETH MCCLELLAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ELIZABETH MCCLELLAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ELIZABETH MCCLELLAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MICHAEL PRUSAITIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MICHAEL PRUSAITIS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MICHAEL PRUSAITIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MICHAEL PRUSAITIS appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CATHY A WONSKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CATHY A WONSKI appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CATHY A WONSKI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CATHY A WONSKI appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MCLAREN HEALTH CARE CORPORATION appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MCLAREN HEALTH CARE CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: GARFIELD H ATCHISON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: GARFIELD H ATCHISON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: GARFIELD H ATCHISON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: GARFIELD H ATCHISON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: PHILIP A INCARNATI appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: PHILIP A INCARNATI appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOANNE SCHROEDER appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 September 2025: RICHARD L FISH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
12 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 September 2024: RICHARD SEGUIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
12 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
14 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
30 November 2022: DAVID M ZECHMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: TODD BURCH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
21 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
24 March 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
26 March 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
20 March 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
25 April 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
28 April 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	5 June 2025	5 June 2025	31	13
2	15 May 2024	15 May 2024	17	7
3	8 June 2023	8 June 2023	10	6

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

Deficiencies cited

58 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
25 March 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	Yes	Deficient, Provider has date of correction	1 May 2026
25 March 2026	Health	F 0691	Quality of Life and Care Deficiencies	Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.	D	Yes	Deficient, Provider has date of correction	1 May 2026
25 March 2026	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	Yes	Deficient, Provider has date of correction	1 May 2026
25 March 2026	Health	F 0838	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	F	Yes	Deficient, Provider has date of correction	1 May 2026
21 November 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.	G	Yes	Deficient, Provider has date of correction	6 February 2026
21 November 2025	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	G	Yes	Deficient, Provider has date of correction	6 February 2026
21 November 2025	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	19 December 2025
21 November 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	Yes	Deficient, Provider has date of correction	19 December 2025
21 November 2025	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	G	Yes	Deficient, Provider has date of correction	19 December 2025
14 August 2025	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	12 September 2025
14 August 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	Yes	Deficient, Provider has date of correction	12 September 2025
14 August 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	12 September 2025
17 July 2025	Health	F 0635	Resident Assessment and Care Planning Deficiencies	Provide doctor's orders for the resident's immediate care at the time the resident was admitted.	D	Yes	Deficient, Provider has date of correction	9 September 2025
5 June 2025	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	Yes	Deficient, Provider has date of correction	7 July 2025
5 June 2025	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	E	Yes	Deficient, Provider has date of correction	7 July 2025
5 June 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	Yes	Deficient, Provider has date of correction	7 July 2025
5 June 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	3 September 2025
5 June 2025	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	Yes	Deficient, Provider has date of correction	7 July 2025
5 June 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	3 September 2025
5 June 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	7 July 2025
5 June 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	E	Yes	Deficient, Provider has date of correction	7 July 2025
5 June 2025	Health	F 0638	Resident Assessment and Care Planning Deficiencies	Assure that each resident’s assessment is updated at least once every 3 months.	D	Yes	Deficient, Provider has date of correction	7 July 2025
5 June 2025	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	7 July 2025
5 June 2025	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	7 July 2025
5 June 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	7 July 2025
5 June 2025	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	7 July 2025
5 June 2025	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	E	Yes	Deficient, Provider has date of correction	7 July 2025
5 June 2025	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	Yes	Deficient, Provider has date of correction	7 July 2025
5 June 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	Yes	Deficient, Provider has date of correction	7 July 2025
5 June 2025	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	Yes	Deficient, Provider has date of correction	7 July 2025
5 June 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	7 July 2025
5 June 2025	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	7 July 2025
13 March 2025	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	Yes	Deficient, Provider has date of correction	29 March 2025
13 November 2024	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D	Yes	Deficient, Provider has date of correction	13 December 2024
13 November 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	13 December 2024
13 November 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	13 December 2024
13 November 2024	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	Yes	Deficient, Provider has date of correction	13 December 2024
13 November 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	Yes	Deficient, Provider has date of correction	13 December 2024
20 June 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.	G	Yes	Deficient, Provider has date of correction	9 July 2024
15 May 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	11 June 2024
15 May 2024	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	11 June 2024
15 May 2024	Health	F 0572	Resident Rights Deficiencies	Give residents a notice of rights, rules, services and charges.	E	No	Deficient, Provider has date of correction	11 June 2024
15 May 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	No	Deficient, Provider has date of correction	11 June 2024
15 May 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	11 June 2024
15 May 2024	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	11 June 2024
15 May 2024	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	Yes	Deficient, Provider has date of correction	11 June 2024
15 May 2024	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	E	Yes	Deficient, Provider has date of correction	11 June 2024
15 May 2024	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	No	Deficient, Provider has date of correction	11 June 2024
15 May 2024	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	11 June 2024
15 May 2024	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	11 June 2024
1 February 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.	G	Yes	Deficient, Provider has date of correction	22 February 2024
1 February 2024	Health	F 0711	Nursing and Physician Services Deficiencies	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.	G	Yes	Deficient, Provider has date of correction	22 February 2024
8 June 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	No	Deficient, Provider has date of correction	15 June 2023
8 June 2023	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	No	Deficient, Provider has date of correction	15 June 2023
8 June 2023	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	15 June 2023
8 June 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	15 June 2023
8 June 2023	Health	F 0810	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	D	No	Deficient, Provider has date of correction	15 June 2023
8 June 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	15 June 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
21 November 2025	Payment Denial		24 December 2025	44
5 June 2025	Payment Denial		5 September 2025	7

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	Non profit - Corporation
Legal Business Name	CHARLEVOIX NURSING HOME CORPORATION
Date First Approved to Provide Medicare and Medicaid Services	1992-08-14
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Charlevoix
Telephone Number	2315471005
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	72
Average Number of Residents per Day	48.7
Overall Rating	1
Health Inspection Rating	1
QM Rating	3
Long-Stay QM Rating	3
Short-Stay QM Rating	2
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 April 2026: ANDREA H NAYLOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.

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