Skilled nursing facility · CMS certification number 265255
CLINTON HEALTHCARE AND REHABILITATION CENTER
CLINTON, Missouri · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,609,281 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,283,930 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,325,351 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,429,100 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$103,749 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $182,939 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $79,190 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $79,190 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,304 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,219 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,369 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 24,892 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 86 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 111 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 188.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437271, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,098,597 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,267,263 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,831,334 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,817,664 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $13,670 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $162,322 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $175,992 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $175,992 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,193 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 167 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 577.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394619, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,878,227 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,137,788 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,740,439 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,928,632 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$188,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $338,966 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $150,773 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $150,773 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,308 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 414.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360704, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,356,774 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,671,558 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,685,216 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,538,574 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $146,642 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $108,817 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $255,459 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $255,459 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,304 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 183 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 380.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328894, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,681,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $757,783 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,923,652 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,696,858 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $226,794 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,124,441 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,351,235 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,351,233 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,016 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 153 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 425.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 163.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1298361, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,667,342 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $824,330 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,843,012 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,461,571 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $381,441 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,451 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $419,892 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $419,893 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,867 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 250.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1259631, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,737,161 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $692,362 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,044,799 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,027,907 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $16,892 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,324 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $66,216 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $66,219 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,419 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 2,186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 1.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 23.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 10.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239125, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,826,388 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $576,099 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,250,289 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,205,984 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $44,305 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,861 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $63,166 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $63,167 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,828 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 161 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 328.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1206929, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,976,789 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $624,712 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,352,077 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,012,316 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $339,761 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,396 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $360,157 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $360,157 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,193 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 308.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170489, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,885,259 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $763,567 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,121,692 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,745,097 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $376,595 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,174 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $387,769 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $387,769 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,722 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 309.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138605, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,047,026 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $672,299 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,374,727 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,937,820 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $436,907 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $54,391 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $491,298 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $491,298 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,716 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 223.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104675, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,673,054 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $596,309 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,076,745 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,742,030 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $334,715 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $58,393 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $393,108 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $393,108 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,599 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 161 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 276.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074492, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,610,815 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $588,814 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,022,001 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,748,102 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $273,899 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $71,781 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $345,680 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $345,680 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,146 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 173 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 274.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042082, 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 25 September 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,911,198 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $301,762 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,609,436 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,530,120 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $79,316 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,231 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $122,547 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $122,547 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,898 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 282.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1011957, 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 1 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,222,533 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,419,977 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$197,444 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,682 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$181,762 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,410 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 251.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 414099, 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 11 June 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,118,408 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,365,300 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$246,892 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,613 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$233,279 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,868 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 104 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 334.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 374007, 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 14 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,536,527 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,119,133 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$582,606 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,974 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$567,632 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,754 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 317.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 192.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 348829, 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 23 July 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,918,870 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,134,204 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$215,334 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,819 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$197,515 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,242 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 113 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 306.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 187.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 319873, 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 25 July 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,451,714 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,385,477 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $66,237 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,793 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $74,030 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,079 | 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 | 72.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 427.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 214.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 288935, 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 12 July 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,650,349 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,737,813 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$87,464 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,698 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$75,766 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,139 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 164 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 350.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 177.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 258259, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 5 May 2004 to 31 December 2004 — a reporting period of 240 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 15 July 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,691,662 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,789,092 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$97,430 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,596 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$68,834 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,914 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 118 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 305.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 168.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 227892, 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 16 July 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,860,292 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,520,861 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$660,569 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,251 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$621,318 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,178 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 328.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 194.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 187429, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,863,445 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,778,324 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $85,121 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,628 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $130,749 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,495 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 211.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195579, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 9 July 2001 to 31 December 2001 — a reporting period of 175 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 15 June 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,939,869 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,801,702 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $138,167 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,978 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $158,145 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,805 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 266.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 182181, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 30 September 2000
Cost report for 1 October 1999 to 30 September 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 9 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,912,871 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,472,564 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $440,307 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,727 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $488,034 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,958 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 79.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 690.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 402.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 90408, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 30 September 1999
Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 21 April 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,553,266 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,082,395 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$529,129 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,590 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$481,539 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,151 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 93.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 734.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 452.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 90407, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 30 September 1998
Cost report for 1 January 1998 to 30 September 1998 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 20 April 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,543,572 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,771,708 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$228,136 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,078 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$207,058 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,593 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,227.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 396.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 90405, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 June 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,752,149 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,134,752 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$382,603 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,064 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$354,539 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,672 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 303 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 138.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 104.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 90403, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 23 August 1996
Cost report for 19 January 1996 to 23 August 1996 — a reporting period of 217 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 11 September 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,589,971 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,721,465 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$131,494 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,041 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$111,453 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,616 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 225.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 90401, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CLINTON EXEMPT TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/23/2004 |
| AGH1 LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/25/2025 |
| BEAIRD, TODD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2022 |
| CLINTON RE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/12/2013 |
| DCB REAL ESTATE PARTNERSHIP LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/12/2013 |
| FG LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/02/2016 |
| FORVIS MAZARS LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/16/2021 |
| FOSTER, GEORGANN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/29/2025 |
| MID STATES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/15/2014 |
| SNELL, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2001 |
| SOVEREIGN HEALTHCARE GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/06/2025 |
| VAN DE VEN LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2000 |
| BEDELL, DONALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/23/2004 |
| BEAIRD, TODD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2022 |
| BEDELL, DONALD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/23/2004 |
| BEDELL, BRYAN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/28/2025 |
| AGH1 LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/02/2016 |
| BEDELL, DONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/23/2004 |
| FOSTER, GEORGANN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/29/2025 |
| SNELL, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2001 |
| SOVEREIGN HEALTHCARE GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/23/2021 |
| CLINTON EXEMPT TRUST | TRUSTEE OF THE SNF | Organization | NOT APPLICABLE | since 04/23/2004 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CLINTON NO 1 INC (enrollment ID O20040610001472).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CLINTON EXEMPT TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/23/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| AGH1 LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/25/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLINTON RE LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/12/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| DCB REAL ESTATE PARTNERSHIP LP | 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. | 3/12/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| FG LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/2/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| FORVIS MAZARS LLP | 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. | 8/16/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| GEORGANN FOSTER | 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. | 12/29/2025 | 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. |
| MARK P SNELL | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2001 | 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. |
| MID STATES INC | 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. | 8/15/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| SOVEREIGN HEALTHCARE GROUP LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/6/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TODD BEAIRD | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| VAN DE VEN LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2000 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2000 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2000 | 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. |
| DONALD B BEDELL | 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. | 4/23/2004 | 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. |
| DONALD B BEDELL | Individual | CORPORATE OFFICER | 100 | 4/23/2004 | 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. |
| TODD BEAIRD | Individual | CORPORATE OFFICER | 0 | 1/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| AGH1 LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/2/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| DONALD B BEDELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/23/2004 | 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. |
| GEORGANN FOSTER | 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. | 12/29/2025 | 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. |
| MARK P SNELL | 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. | 9/1/2001 | 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. |
| SOVEREIGN HEALTHCARE GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/23/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLINTON EXEMPT TRUST | Organization | 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. | 4/23/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 February 2026: ANTOINE WILEY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: ANTOINE WILEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: GEORGANN FOSTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: GEORGANN FOSTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 December 2025: JUDY VOYSEY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JUDY VOYSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ANTOINE WILEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ANTOINE WILEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 November 2025: ARYN WALKER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ARYN WALKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JUDY VOYSEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JUDY VOYSEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 September 2025: MARK P SNELL no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CHARLA MACKEY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CLINTON RE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK P SNELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK P SNELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: AGH1 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: AGH1 LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CLINTON EXEMPT TRUST appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DCB REAL ESTATE PARTNERSHIP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DONALD B BEDELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: TODD BEAIRD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ARYN WALKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ARYN WALKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: VAN DE VEN LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MID STATES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: FG LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SOVEREIGN HEALTHCARE GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SOVEREIGN HEALTHCARE GROUP LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 July 2024: MARK P SNELL appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
Recent changes on this record
- 1 February 2026: ANTOINE WILEY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: ANTOINE WILEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: GEORGANN FOSTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: GEORGANN FOSTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 December 2025: JUDY VOYSEY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JUDY VOYSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ANTOINE WILEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ANTOINE WILEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 November 2025: ARYN WALKER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ARYN WALKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JUDY VOYSEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JUDY VOYSEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 September 2025: MARK P SNELL no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CHARLA MACKEY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CLINTON RE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK P SNELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARK P SNELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: AGH1 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: AGH1 LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CLINTON EXEMPT TRUST appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DCB REAL ESTATE PARTNERSHIP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DONALD B BEDELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: TODD BEAIRD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ARYN WALKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ARYN WALKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: VAN DE VEN LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MID STATES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: FG LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SOVEREIGN HEALTHCARE GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SOVEREIGN HEALTHCARE GROUP LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 12 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 July 2024: MARK P SNELL appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 2 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 4 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 16 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 17 July 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 1 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 5 September 2024 | 5 September 2024 | 10 | 1 |
| 2 | 6 January 2023 | 6 January 2023 | 13 | 1 |
| 3 | 13 September 2019 | 13 September 2019 | 8 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
31 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 26 March 2025 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Yes | Deficient, Provider has date of correction | 14 April 2025 |
| 26 March 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. | D | Yes | Deficient, Provider has date of correction | 14 April 2025 |
| 10 February 2025 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Yes | Deficient, Provider has date of correction | 14 April 2025 |
| 10 February 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. | D | Yes | Deficient, Provider has date of correction | 14 April 2025 |
| 10 February 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 17 March 2025 |
| 10 February 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | J | Yes | Deficient, Provider has date of correction | 17 March 2025 |
| 10 February 2025 | Health | F 0843 | Administration Deficiencies | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | F | Yes | Deficient, Provider has date of correction | 17 March 2025 |
| 17 September 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | 20 October 2024 |
| 5 September 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. | E | No | Deficient, Provider has date of correction | 20 October 2024 |
| 5 September 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | 20 October 2024 |
| 5 September 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 20 October 2024 |
| 5 September 2024 | 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 | 20 October 2024 |
| 5 September 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. | E | No | Deficient, Provider has date of correction | 20 October 2024 |
| 5 September 2024 | 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 | 20 October 2024 |
| 5 September 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 20 October 2024 |
| 5 September 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 20 October 2024 |
| 5 September 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. | E | No | Deficient, Provider has date of correction | 20 October 2024 |
| 5 September 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | No | Deficient, Provider has date of correction | 20 October 2024 |
| 6 January 2023 | 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 | 5 February 2023 |
| 6 January 2023 | 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 | 5 February 2023 |
| 6 January 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 5 February 2023 |
| 6 January 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 5 February 2023 |
| 6 January 2023 | Health | F 0728 | Nursing and Physician Services Deficiencies | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E | No | Deficient, Provider has date of correction | 5 February 2023 |
| 13 September 2019 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 20 October 2019 |
| 13 September 2019 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | 20 October 2019 |
| 13 September 2019 | 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 | 20 October 2019 |
| 13 September 2019 | 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 | 20 October 2019 |
| 13 September 2019 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 20 October 2019 |
| 13 September 2019 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 20 October 2019 |
| 13 September 2019 | Health | F 0710 | Nursing and Physician Services Deficiencies | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | No | Deficient, Provider has date of correction | 20 October 2019 |
| 13 September 2019 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | No | Deficient, Provider has date of correction | 20 October 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 10 February 2025 | Fine | $83,041 | 90719 | ||
| 10 February 2025 | Payment Denial | 20 March 2025 | 25 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | CLINTON NO 1 INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1984-10-11 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Henry |
| Telephone Number | 6608855571 |
| Chain Name | CIRCLE B ENTERPRISES |
| Chain ID | 145 |
| 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 | 120 |
| Average Number of Residents per Day | 70.0 |
| Overall Rating | 1 |
| Health Inspection Rating | 3 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on CLINTON HEALTHCARE AND REHABILITATION CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 February 2026: ANTOINE WILEY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for CLINTON HEALTHCARE AND REHABILITATION CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Missouri at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 265255.