Skilled nursing facility · CMS certification number 265466
LAKE STOCKTON HEALTHCARE FACILITY
STOCKTON, Missouri · Medicare and Medicaid
Certified beds, as filed in Care Compare: 90
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 June 2024 to 31 May 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 November 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $77,163,780 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$178,907 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $77,342,687 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $70,395,339 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $6,947,348 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $58,940 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $7,006,288 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,006,288 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 32,850 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 837 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,968 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 12,149 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 29,954 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 19 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 30 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 192 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 241 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 565.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442417, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 31 May 2024
Cost report for 1 June 2023 to 31 May 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $74,018,203 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $437,942 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $73,580,261 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $72,912,811 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $667,450 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $452,417 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,119,867 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,119,867 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,247 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 228 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 170.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401584, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 31 May 2023
Cost report for 1 June 2022 to 31 May 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $72,029,769 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $569,357 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $71,460,412 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $70,983,335 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $477,077 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,084,113 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,561,190 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,561,190 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,381 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 147 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 382.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 206.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371449, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 31 May 2022
Cost report for 1 June 2021 to 31 May 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 December 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $63,916,328 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $896,396 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $63,019,932 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $64,945,514 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,925,582 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $880,770 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,044,812 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,044,812 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,676 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 228 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 12.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 273.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1339042, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 31 May 2021
Cost report for 1 June 2020 to 31 May 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 December 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $60,399,280 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,067,260 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $59,332,020 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $60,713,516 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,381,496 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $941,001 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$440,495 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$440,495 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,808 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 188 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 335.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 153.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308285, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 31 May 2020
Cost report for 1 June 2019 to 31 May 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $53,347,002 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,098,693 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $52,248,309 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $53,960,109 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,711,800 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $162,219 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,549,581 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,549,581 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,391 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 199 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 238.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278464, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 31 May 2019
Cost report for 1 June 2018 to 31 May 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $50,738,870 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,030,610 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $49,708,260 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $49,558,461 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $149,799 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,704 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $188,503 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $188,503 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,636 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 237 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 212.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1248978, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 31 May 2018
Cost report for 1 June 2017 to 31 May 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $47,670,805 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,132,088 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $46,538,717 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $46,753,233 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$214,516 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,625 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$178,891 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$178,891 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,796 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214750, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 May 2017
Cost report for 1 June 2016 to 31 May 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $46,321,589 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $956,960 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $45,364,629 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $44,052,259 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,312,370 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $46,674 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,359,044 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,359,044 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,798 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 221 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 239.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179516, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 May 2016
Cost report for 1 June 2015 to 31 May 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $43,583,250 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $981,363 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $42,601,887 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $41,246,546 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,355,341 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $54,254 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,409,595 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,409,595 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,840 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 235 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 300.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1149672, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 May 2015
Cost report for 1 June 2014 to 31 May 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 December 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $42,395,281 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $763,909 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $41,631,372 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $40,743,890 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $887,482 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $46,013 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $933,495 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $933,495 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,729 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 177 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 373.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1116232, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 31 May 2014
Cost report for 1 June 2013 to 31 May 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $41,583,101 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $858,499 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $40,724,602 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $39,508,463 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,216,139 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $48,587 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,264,726 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,264,726 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,135 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 198 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 387.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1083932, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 May 2013
Cost report for 1 June 2012 to 31 May 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 December 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $36,680,730 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $838,071 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $35,842,659 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,510,789 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $331,870 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $51,581 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $383,451 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $383,451 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,704 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 631.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1053163, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 May 2012
Cost report for 1 September 2011 to 31 May 2012 — a reporting period of 273 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $37,398,253 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $435,383 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $36,962,870 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $33,523,699 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,439,171 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,618 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,469,789 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,469,789 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,917 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 391.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 163.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1022990, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 August 2011
Cost report for 1 January 2011 to 31 August 2011 — a reporting period of 242 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 17 April 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,193,707 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,396,918 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$203,211 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,830 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$179,381 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,846 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 474.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 145.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 427133, read from the public cost report file SNFFY2011.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 19 May 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,047,043 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,287,524 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$240,481 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,231 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$193,250 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,522 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 389.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 120.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 399792, 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 2 June 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,023,126 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,240,712 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$217,586 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,524 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$175,062 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,095 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 360.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 372013, 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 25 June 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,168,924 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,096,591 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $72,333 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$10,862 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $61,471 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,992 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 190 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 286.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 126.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 347358, 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 | $2,904,741 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,925,253 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$20,512 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,803 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $6,291 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,868 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 181 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 569.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 126.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 319116, 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 21 December 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,733,974 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,893,462 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$159,488 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,111 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$61,377 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,347 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 460.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 120.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 299426, 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 9 August 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,849,544 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,931,665 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$82,121 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $120,738 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $38,617 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,294 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 174 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 308.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 139.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 260816, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 May 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,790,211 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,884,239 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$94,028 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,093 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$40,935 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,426 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 225.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249060, 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 27 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,543,062 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,634,760 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$91,698 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $107,969 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $16,271 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,036 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 327.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 218414, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 3 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,665,187 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,578,802 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $86,385 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,319 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $124,704 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,175 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 447.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174814, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 February 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,466,568 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,389,398 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $77,170 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $62,690 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $139,859 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,651 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 354.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 164.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 206748, read from the public cost report file SNFFY2001.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 December 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,294,129 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,355,034 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$60,905 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,098 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$35,807 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,057 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 726.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 250.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 201397, read from the public cost report file SNFFY1999.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 |
|---|---|---|---|---|
| ASHWORTH, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/20/2019 |
| BABB, DONALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/24/1986 |
| CALHOUN, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2022 |
| DERRICKSON, BEVERLY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/21/2016 |
| HANCOCK, JANIECA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/15/2018 |
| KALLENBACH, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/20/2019 |
| MEENTS, DANA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/14/2010 |
| BANNER, KATRINA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/17/2022 |
| CALHOUN, MICHAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2022 |
| DAWSON, ERAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2022 |
| DERRICKSON, BEVERLY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2020 |
| FULBRIGHT, GARY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/17/2022 |
| HANCOCK, JANIECA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/15/2018 |
| KALLENBACH, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/20/2019 |
| MEENTS, DANA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/14/2010 |
| MEYER, RENEE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2022 |
| CALHOUN, MICHAEL | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2022 |
| DERRICKSON, BEVERLY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2020 |
| FINNELL, HEATHER | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 11/21/2021 |
| MCBRATNEY, CHRISTOPHER | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 09/08/2019 |
| MEYER, RENEE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2020 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CITIZENS MEMORIAL HEALTH CARE FOUNDATION (enrollment ID O20120110000841).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DANA M MEENTS | Individual | CORPORATE DIRECTOR | 0 | 10/14/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DONALD J BABB | Individual | CORPORATE DIRECTOR | 0 | 9/24/1986 | 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. |
| JAMES ASHWORTH | 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. | 6/20/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JANIECA LYNN HANCOCK | Individual | CORPORATE DIRECTOR | 0 | 3/15/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN KALLENBACH | 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. | 6/20/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MICHAEL CALHOUN | 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. | 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. |
| BEVERLY DERRICKSON | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2020 | 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. |
| ERAN T DAWSON | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2022 | 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. |
| GARY D FULBRIGHT | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/17/2022 | 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. |
| JANIECA LYNN HANCOCK | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/15/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN KALLENBACH | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/20/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MICHAEL CALHOUN | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2022 | 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. |
| RENEE M MEYER | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2022 | 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. |
| BEVERLY DERRICKSON | Individual | 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. | 11/21/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DANA M MEENTS | Individual | OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/14/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATRINA S BANNER | Individual | OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/17/2022 | 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. |
| BEVERLY DERRICKSON | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2020 | 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. |
| CHRISTOPHER MCBRATNEY | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/8/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HEATHER FINNELL | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 01/01/2022 | 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. |
| MICHAEL CALHOUN | Individual | W-2 MANAGING EMPLOYEE | CMS paused 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. |
| RENEE M MEYER | Individual | W-2 MANAGING EMPLOYEE | 0 | 1/1/2020 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 15 June 2023: CATHERINE S MOLDER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: WILLIAM S DONNELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: BRAD JOHNSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: DANA M MEENTS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: KATRINA S BANNER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: ERAN T DAWSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: GARY D FULBRIGHT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: MICHAEL CALHOUN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Recent changes on this record
- 14 November 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 25 December 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 16 January 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 15 June 2023: CATHERINE S MOLDER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: WILLIAM S DONNELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: BRAD JOHNSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: DANA M MEENTS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: KATRINA S BANNER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: ERAN T DAWSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: GARY D FULBRIGHT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: MICHAEL CALHOUN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 26 December 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 31 December 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 15 January 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 16 January 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 4 December 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 7 December 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 20 December 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 23 December 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 14 January 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 23 December 2013: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 24 January 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 17 April 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- 19 May 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 2 June 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 25 June 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 23 July 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 21 December 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 9 August 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 11 May 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 27 May 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 8 February 2005: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- 3 December 2004: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 3 May 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 2 April 2026 | 2 April 2026 | 5 | 0 |
| 2 | 21 March 2024 | 21 March 2024 | 1 | 3 |
| 3 | 29 April 2022 | 29 April 2022 | 7 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
13 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 2 April 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | 17 May 2026 |
| 2 April 2026 | 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 | 17 May 2026 |
| 2 April 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 17 May 2026 |
| 2 April 2026 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | No | Deficient, Provider has date of correction | 17 May 2026 |
| 1 January 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 14 February 2026 |
| 21 March 2024 | 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 | 27 March 2024 |
| 29 April 2022 | 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 | No | Deficient, Provider has date of correction | 13 June 2022 |
| 29 April 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 13 June 2022 |
| 29 April 2022 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | 13 June 2022 |
| 29 April 2022 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Deficient, Provider has date of correction | 13 June 2022 |
| 29 April 2022 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 13 June 2022 |
| 29 April 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 13 June 2022 |
| 29 April 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 13 June 2022 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | CITIZENS MEMORIAL HEALTH CARE FOUNDATION |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-09-20 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Cedar |
| Telephone Number | 4172765126 |
| Chain Name | CITIZENS MEMORIAL HEALTH CARE |
| Chain ID | 148 |
| 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 | 90 |
| Average Number of Residents per Day | 84.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on LAKE STOCKTON HEALTHCARE FACILITY: 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 14 November 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. 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 LAKE STOCKTON HEALTHCARE FACILITY
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 265466.