Skilled nursing facility · CMS certification number 245255
CERENITY CARE CENTER ON HUMBOLDT
SAINT PAUL, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 93
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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 June 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,223,132 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,198,707 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,024,425 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,770,666 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$746,241 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $493,775 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$252,466 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,439,579 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 33,945 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,564 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 17,632 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,614 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 27,810 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 39 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 55 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 120 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 214 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450430, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,192,329 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,247,459 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,944,870 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,964,362 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,019,492 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $424,600 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$594,892 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$594,894 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,946 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 392.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 263.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441491, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,414,309 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $972,688 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,441,621 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,352,469 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $89,152 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $199,086 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $288,238 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $287,868 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,791 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 496.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371522, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,407,459 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $775,281 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,632,178 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,420,483 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$788,305 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $399,807 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$388,498 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$390,460 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,848 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 480.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363955, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 August 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,787,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $861,190 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,926,782 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,364,642 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,437,860 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $601,160 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$836,700 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$951,945 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,156 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 323 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 155.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329920, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,475,170 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,144,053 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,331,117 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,659,545 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$328,428 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $419,903 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $91,475 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $56,511 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,886 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 331 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 396.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278742, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,956,883 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $884,810 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,072,073 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,105,810 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$33,737 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,097 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$21,640 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$57,322 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,961 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 348.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279074, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,763,115 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $811,774 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,951,341 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,037,777 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$86,436 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $72,591 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$13,845 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$50,243 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,613 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 352 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 175.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239730, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 November 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,874,085 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $716,150 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,157,935 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,402,103 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,244,168 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $96,094 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,148,074 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,220,869 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,373 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 292 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 183.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1213713, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 March 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,637,451 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $671,123 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,966,328 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,259,081 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$292,753 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $112,875 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$179,878 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$206,014 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,263 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 79.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 204.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1155154, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,996,843 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $542,947 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,453,896 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,281,841 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$827,945 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,092,930 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $264,985 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $248,620 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,463 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 282 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 81.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 221.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1147574, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,874,106 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $558,728 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,315,378 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,436,125 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,120,747 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,196,148 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $75,401 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $58,494 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,942 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 382.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 178.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103504, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 December 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,655,287 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $810,543 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,844,744 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,939,024 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,094,280 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,140,912 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $46,632 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $43,626 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,341 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 269.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081446, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 May 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,430,898 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,091,666 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,339,232 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,018,786 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$679,554 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,096,101 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $416,547 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $413,956 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,913 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 317 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 248.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1061369, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 June 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,375,993 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,688,955 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,312,962 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,422,030 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $109,068 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,476 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 296 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 382.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 140.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430949, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,813,182 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,736,313 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$923,131 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,532,752 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,239 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $607,382 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,006 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 297 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 391.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418218, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 September 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,860,673 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,605,875 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$745,202 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,419,800 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $674,598 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,727 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 263 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 77.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 409.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387209, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,267,997 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,224,762 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$956,765 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,288,641 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,437 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $323,439 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,749 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 262 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 81.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 370.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 349247, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 September 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,922,409 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,730,698 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$808,289 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,205,534 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,422 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $392,823 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,610 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 627.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 216.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 325594, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 August 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,378,538 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,456,261 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$77,723 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $224,431 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,457 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $138,251 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,318 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 204 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 647.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 222.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292462, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 September 2004 to 30 June 2005 — a reporting period of 302 days, on form CMS-2540-96, settled, processed by CMS on 24 October 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,723,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,393,216 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $329,784 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $208,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $554,785 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$17,001 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,810 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 745.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 450.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 265097, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 August 2004
Cost report for 1 September 2003 to 31 August 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 January 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,989,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,055,442 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$66,442 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $359,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $321,558 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$29,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,891 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 633.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 316.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241239, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 31 August 2003
Cost report for 1 September 2002 to 31 August 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 January 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,702,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,048,686 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$346,686 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $340,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $321,314 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$328,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,006 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 126 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 616.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 357.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 204964, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 31 August 2002
Cost report for 1 September 2001 to 31 August 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 June 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,736,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,551,064 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $184,936 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $285,064 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $298,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $172,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,737 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,190.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 310.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 182629, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 31 August 2001
Cost report for 1 September 2000 to 31 August 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 August 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,217,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,213,045 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $3,955 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $328,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $285,955 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $46,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,058 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 143 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 627.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 315.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 157955, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 31 August 2000
Cost report for 1 September 1999 to 31 August 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 January 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,703,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,012,206 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$309,206 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $338,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $276,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$247,206 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,771 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,032.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 630.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41910, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 31 August 1999
Cost report for 1 January 1999 to 31 August 1999 — a reporting period of 242 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 November 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,264,070 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,684,478 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$420,408 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $283,469 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$136,939 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,918 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 707.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 421.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41908, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 July 1998 to 31 December 1998 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 12 December 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,221,537 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,845,680 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$624,143 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$23,833 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$647,976 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,612 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 30 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 720.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41907, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 30 June 1997
Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 August 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,232,662 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,521,465 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,288,803 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,911 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,220,892 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 6,677 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,297 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 322 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 137.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28629, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 30 June 1996
Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 7 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,923,638 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,943,959 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,020,321 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,413 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$989,908 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 1,270 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,067 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 105 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 429.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28627, read from the public cost report file SNFFY1995.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| FAIRVIEW BETHESDA HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | since 07/01/2005 |
| ROBINSON, FRANK | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 07/09/2021 |
| CARLEY, GERALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/02/2018 |
| FOUSSARD, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/24/2010 |
| GRZYWINSKI, JOAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/13/2014 |
| KSEPKA, DAWN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/13/2013 |
| LUNDBERG, JONATHAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2018 |
| BERGIEN, TRICIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/16/2016 |
| BRUHN, JENNIFER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/25/2019 |
| RYMANOWSKI, KEVIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2005 |
| BENEDICTINE HEALTH SYSTEM | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2005 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CERENITY SENIOR CARE (enrollment ID O20051108000295).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BENEDICTINE HEALTH SYSTEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 7/1/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| FAIRVIEW BETHESDA HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 7/1/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| FRANK ROBINSON | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 7/9/2021 | 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. |
| DAWN MARIE KSEPKA | Individual | CORPORATE DIRECTOR | 0 | 6/13/2013 | 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. |
| GERALD CARLEY | Individual | CORPORATE DIRECTOR | 0 | 1/2/2018 | 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. |
| JOAN GRZYWINSKI | Individual | CORPORATE DIRECTOR | 0 | 6/13/2014 | 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. |
| JONATHAN E LUNDBERG | Individual | CORPORATE DIRECTOR | 0 | 3/1/2018 | 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. |
| WILLIAM FOUSSARD | Individual | CORPORATE DIRECTOR | 0 | 6/24/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JENNIFER BRUHN | Individual | CORPORATE OFFICER | 0 | 11/25/2019 | 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. |
| KEVIN J RYMANOWSKI | Individual | CORPORATE OFFICER | 0 | 7/1/2005 | 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. |
| TRICIA BERGIEN | Individual | CORPORATE OFFICER | 0 | 11/16/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BENEDICTINE HEALTH SYSTEM | Organization | OPERATIONAL/MANAGERIAL CONTROL | 50 | 7/1/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: JOAN GRZYWINSKI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOAN GRZYWINSKI appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2023: RICHARD RAU no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: CLEMENT MANOR, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: CATHERINE BARR no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: TODD CARSEN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: ROCKLON B CHAPIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JENNIFER BRUHN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: FRANK ROBINSON appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: GERALD CARLEY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JONATHAN E LUNDBERG appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- 1 July 2026: JOAN GRZYWINSKI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOAN GRZYWINSKI appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 22 June 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 27 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 16 January 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 9 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 1 January 2023: RICHARD RAU no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: CLEMENT MANOR, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: CATHERINE BARR no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: TODD CARSEN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: ROCKLON B CHAPIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JENNIFER BRUHN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: FRANK ROBINSON appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: GERALD CARLEY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JONATHAN E LUNDBERG appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 17 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 27 January 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 21 January 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 6 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 8 November 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 23 March 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 6 December 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 24 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 3 December 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 30 May 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 26 June 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 21 September 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 9 September 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 14 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 9 September 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 22 August 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 24 October 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 24 January 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- 21 January 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- 17 June 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- 26 August 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- 22 January 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- 19 November 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 12 December 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- 3 July 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 5 March 2026 | 5 March 2026 | 9 | 3 |
| 2 | 16 January 2025 | 16 January 2025 | 23 | 3 |
| 3 | 30 November 2023 | 30 November 2023 | 10 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
42 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 5 March 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 14 April 2026 |
| 5 March 2026 | 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 | No | Deficient, Provider has date of correction | 14 April 2026 |
| 5 March 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 14 April 2026 |
| 5 March 2026 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 14 April 2026 |
| 5 March 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 14 April 2026 |
| 5 March 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 14 April 2026 |
| 5 March 2026 | 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 | 14 April 2026 |
| 5 March 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 14 April 2026 |
| 18 November 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 | 10 December 2025 |
| 15 May 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | 12 May 2025 |
| 15 May 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. | G | Yes | Deficient, Provider has date of correction | 17 June 2025 |
| 15 May 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 17 June 2025 |
| 15 May 2025 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Yes | Deficient, Provider has date of correction | 17 June 2025 |
| 15 May 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | 17 June 2025 |
| 15 May 2025 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Yes | Deficient, Provider has date of correction | 17 June 2025 |
| 16 January 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 25 February 2025 |
| 16 January 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 25 February 2025 |
| 16 January 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 25 February 2025 |
| 16 January 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 25 February 2025 |
| 16 January 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | 25 February 2025 |
| 16 January 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | 25 February 2025 |
| 16 January 2025 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | 25 February 2025 |
| 16 January 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. | F | Yes | Deficient, Provider has date of correction | 25 February 2025 |
| 16 January 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | 25 February 2025 |
| 16 January 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 25 February 2025 |
| 16 January 2025 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | 25 February 2025 |
| 5 December 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Past Non-Compliance | 3 December 2024 |
| 27 August 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 1 October 2024 |
| 27 August 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 1 October 2024 |
| 27 August 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | B | Yes | Deficient, Provider has date of correction | 1 October 2024 |
| 27 August 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | Yes | Deficient, Provider has date of correction | 1 October 2024 |
| 8 August 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Yes | Deficient, Provider has date of correction | 12 August 2024 |
| 11 July 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | 7 August 2024 |
| 11 July 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | 7 August 2024 |
| 11 July 2024 | 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 | 7 August 2024 |
| 22 May 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | 17 July 2024 |
| 22 May 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 17 July 2024 |
| 22 May 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 17 July 2024 |
| 22 May 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | 17 July 2024 |
| 30 November 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 15 January 2024 |
| 30 November 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 15 January 2024 |
| 30 November 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 January 2024 |
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 |
|---|---|---|---|---|---|
| 15 May 2025 | Fine | $51,948 | 53937 | ||
| 5 December 2024 | Fine | $17,083 | 53876 | ||
| 22 May 2024 | Payment Denial | 8 August 2024 | 4 |
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 | CERENITY SENIOR CARE |
| Date First Approved to Provide Medicare and Medicaid Services | 1982-09-13 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Ramsey |
| Telephone Number | 6512201700 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 93 |
| Average Number of Residents per Day | 80.1 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 July 2026: JOAN GRZYWINSKI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for CERENITY CARE CENTER ON HUMBOLDT
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