Skilled nursing facility · CMS certification number 265558

NATHAN RICHARD HEALTH CARE CENTER

NEVADA, Missouri · Medicare and Medicaid

Certified beds, as filed in Care Compare: 68

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 16 February 2026.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$5,485,209	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$245,481	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,239,728	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,588,567	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$651,161	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,475	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$663,636	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $663,636 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	24,888	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	405	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	20,001	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,261	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	22,667	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	4	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	39	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	14	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	57	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	101.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	512.85	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	397.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1447794, 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 9 December 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,359,252	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$549,907	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,809,345	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,425,992	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$383,353	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,521	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$401,874	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $401,874 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,072	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	69	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	884.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	319.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1400464, 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 22 July 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,550,435	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$153,824	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,396,611	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,166,835	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$229,776	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$152,452	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$382,228	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $382,228 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,609	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	44	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	922.18	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	513.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389960, 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 23 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,858,984	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$154,118	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,704,866	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,672,186	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$32,680	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$116,430	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$149,110	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $149,110 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,860	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	47	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,033.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	422.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333857, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 August 2020 to 31 December 2020 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 1 December 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$1,127,831	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,166	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,124,665	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,521,894	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$397,229	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$36,996	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$360,233	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$360,233 (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%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	5,736	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	12	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	478	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305811, 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 19 May 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,005,685	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$333,638	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,672,047	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,975,320	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$303,273	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,267	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$294,006	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$294,006 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,489	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	123	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.94	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	154.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	109.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1255768, 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 18 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,200,634	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$528,864	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,671,770	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,695,885	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$24,115	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,930	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$16,185	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$16,185 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,566	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	93	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	681.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	145.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237439, 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 19 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,040,169	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$471,014	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,569,155	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,842,608	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$273,453	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,125	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$266,328	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$266,328 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,784	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	111	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	237.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	115.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200283, 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 9 June 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,640,976	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$666,910	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,974,066	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,204,763	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$230,697	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,043	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$225,654	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$225,654 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,370	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	80	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	349	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	179.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1160488, 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 25 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,910,435	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$836,979	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,073,456	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,434,697	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$361,241	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,134	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$358,107	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$358,107 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,845	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	119	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	238.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	124.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1137269, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 July 2014 to 31 December 2014 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$2,067,999	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$491,179	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,576,820	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,731,340	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$154,520	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,644	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$152,876	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$152,876 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,527	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	53	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	408.64	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	160.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1103483, 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 23 July 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$5,445,381	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,072,635	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,372,746	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,386,756	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$14,010	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,335	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$12,675	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$12,675 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,241	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	126	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.72	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	386.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	136.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1072228, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 October 2011 to 31 December 2012 — a reporting period of 457 days, on form CMS-2540-10, settled, processed by CMS on 21 June 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$6,522,502	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,472,228	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,050,274	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,396,351	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$346,077	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,683	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$344,394	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$344,394 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,304	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	154	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	339.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	138.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1037022, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 September 2011

Cost report for 1 January 2011 to 30 September 2011 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 24 April 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total operating expenses	$2,695,915	CMS-2540-96 worksheet G200002 line 1500 column 200

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	13,238	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	52.68	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	359.4	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	152.16	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 428109, 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 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,251,790	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,023,496	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$228,294	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$1,895	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $226,399 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,843	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	105	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.45	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	417.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	169.93	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 411528, 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 16 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,969,082	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,754,512	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$214,570	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$456	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $215,026 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,656	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	127	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.94	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	317.42	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	139.02	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 381874, 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 27 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,433,797	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,528,285	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$94,488	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,329	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$93,159 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,851	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	102	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	318.18	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	155.4	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 352698, 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 17 June 2009.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$2,685,333	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,597,338	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$87,995	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,465	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $92,460 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,364	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	105	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.55	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	277.31	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	165.37	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 345154, 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 24 April 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,601,988	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,609,687	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$7,699	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,119	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$5,580 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,906	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	85	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	74.59	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	312.94	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	210.66	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 307542, 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 15 March 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,960,122	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,943,470	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$16,652	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,898	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $20,550 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,630	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	94	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	654.37	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	230.11	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 275012, 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 6 June 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,724,827	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,627,854	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$96,973	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,884	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $98,857 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,023	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	101	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.68	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	362.06	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	198.25	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 251672, 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 15 September 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,752,265	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,605,710	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$146,555	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,848	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $154,403 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,089	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	176	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.96	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	218.02	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	114.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 233034, 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 13 September 2005.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,761,975	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,564,702	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$197,273	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$17,972	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $215,245 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	68	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,071	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	83.12	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	220.96	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	159.29	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 232891, 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 29 September 2005.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$2,780,801	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,672,508	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$108,293	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$22,394	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$2	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $130,685 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,191	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	121	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	86.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	261.3	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	166.87	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 233928, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 13 January 2000 to 31 December 2000 — a reporting period of 353 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$2,496,477	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,224,313	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$272,164	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$28,212	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: $300,375 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,336	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	81	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	276.22	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	251.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 115800, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 30 June 1999

Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 May 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$2,480,177	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,413,884	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$66,293	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,766	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $72,059 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,577	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	168	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	77.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	219.02	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	122.48	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 31703, read from the public cost report file SNFFY1998.zip.

Fiscal year 1998, ended 30 June 1998

Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 4 May 2001.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$2,776,641	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,581,852	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$194,789	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,966	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $205,755 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,084	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	231	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.74	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	154.82	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	86.94	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 31700, read from the public cost report file SNFFY1997.zip.

Fiscal year 1997, ended 30 June 1997

Cost report for 3 September 1996 to 30 June 1997 — a reporting period of 300 days, on form CMS-2540-96, settled, processed by CMS on 9 June 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$1,944,440	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,719,569	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$224,871	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,847	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $238,718 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,574	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	169	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.75	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	148.4	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	98.07	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 31699, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
ARSHAD, ABDULLAH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/15/2024
DESTEFANE, RICHARD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2020
NEVADA ASSOCIATES, L.L.C.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/01/2020
RELIANT CARE MANAGEMENT COMPANY LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/27/2025
RICHARD J DESTEFANE REVOCABLE LIVING TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/01/2020
TLG II LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/01/2020
WILLIS, LAWRENCE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/24/2020
DESTEFANE, RICHARD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/01/2020
RELIANT CARE GROUP LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 08/01/2020
DESTEFANE, RICHARD	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 08/01/2020
RCG INC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 08/01/2020
RICHARD J DESTEFANE REVOCABLE LIVING TRUST	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 08/01/2020
ARSHAD, ABDULLAH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/15/2024
DESTEFANE, RICHARD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2020
RELIANT CARE MANAGEMENT COMPANY LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/01/2020
WILLIS, LAWRENCE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/24/2020

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NATHAN RICHARD HEALTH CARE CENTER LLC (enrollment ID O20200820001516).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ABDULLAH ARSHAD	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.	9/15/2024	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.
LAWRENCE WILLIS	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.	10/24/2020	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.
NEVADA ASSOCIATES, L.L.C.	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.	8/1/2020	Private equity company: No Real estate investment trust: No Holding company: No
RELIANT CARE MANAGEMENT COMPANY 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.	6/27/2025	Private equity company: No Real estate investment trust: No Holding company: No
RICHARD J DESTEFANE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2020	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.
RICHARD J DESTEFANE REVOCABLE LIVING TRUST	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2020	Private equity company: No Real estate investment trust: No Holding company: No
TLG II 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.	8/1/2020	Private equity company: No Real estate investment trust: No Holding company: Yes
RICHARD J DESTEFANE	Individual	CORPORATE OFFICER	100	8/1/2020	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.
RELIANT CARE GROUP LLC	Organization	DIRECT OWNERSHIP INTEREST	100	8/1/2020	Private equity company: No Real estate investment trust: No Holding company: Yes
RCG INC	Organization	INDIRECT OWNERSHIP INTEREST	0.01	8/1/2020	Private equity company: No Real estate investment trust: No Holding company: Yes
RICHARD J DESTEFANE	Individual	INDIRECT OWNERSHIP INTEREST	100	8/1/2020	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.
RICHARD J DESTEFANE REVOCABLE LIVING TRUST	Organization	INDIRECT OWNERSHIP INTEREST	100	8/1/2020	Private equity company: No Real estate investment trust: No Holding company: No
ABDULLAH ARSHAD	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.	9/15/2024	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.
LAWRENCE WILLIS	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.	10/24/2020	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.
RELIANT CARE MANAGEMENT COMPANY LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	0	8/1/2020	Private equity company: No Real estate investment trust: No Holding company: No
RICHARD J DESTEFANE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2020	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

1 October 2025: RELIANT CARE GROUP LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DORIS MILLMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE REVOCABLE LIVING TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: LAWRENCE WILLIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: LAWRENCE WILLIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ABDULLAH ARSHAD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ABDULLAH ARSHAD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RELIANT CARE MANAGEMENT COMPANY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TLG II LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RELIANT CARE GROUP LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: NEVADA ASSOCIATES, L.L.C. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE REVOCABLE LIVING TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE REVOCABLE LIVING TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RCG INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv

Recent changes on this record

16 February 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 October 2025: RELIANT CARE GROUP LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DORIS MILLMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE REVOCABLE LIVING TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: LAWRENCE WILLIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: LAWRENCE WILLIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ABDULLAH ARSHAD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ABDULLAH ARSHAD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RELIANT CARE MANAGEMENT COMPANY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TLG II LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RELIANT CARE GROUP LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: NEVADA ASSOCIATES, L.L.C. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE REVOCABLE LIVING TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE REVOCABLE LIVING TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RICHARD J DESTEFANE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RCG INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
9 December 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
22 July 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
23 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
1 December 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
9 February 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
19 May 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
18 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
9 June 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
24 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
2 February 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
23 July 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
21 June 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
24 April 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
19 July 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
16 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
27 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
17 June 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
24 April 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
15 March 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	28 February 2025	28 February 2025	17	7
2	16 June 2023	16 June 2023	12	8
3	6 November 2020	6 November 2020	9	4

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

Deficiencies cited

38 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
19 March 2026	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	Yes	Deficient, Provider has date of correction	4 May 2026
30 December 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	12 January 2026
28 February 2025	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	14 April 2025
28 February 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	14 April 2025
28 February 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	Yes	Deficient, Provider has date of correction	14 April 2025
28 February 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	No	Deficient, Provider has date of correction	14 April 2025
28 February 2025	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	F	No	Deficient, Provider has date of correction	14 April 2025
28 February 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	14 April 2025
28 February 2025	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	No	Deficient, Provider has date of correction	14 April 2025
28 February 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	14 April 2025
28 February 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	14 April 2025
28 February 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	14 April 2025
28 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	No	Deficient, Provider has date of correction	14 April 2025
28 February 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	14 April 2025
28 February 2025	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	E	Yes	Deficient, Provider has date of correction	14 April 2025
28 February 2025	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	14 April 2025
28 February 2025	Health	F 0947	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	F	No	Deficient, Provider has date of correction	14 April 2025
16 June 2023	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	20 July 2023
16 June 2023	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	20 July 2023
16 June 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	20 July 2023
16 June 2023	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 July 2023
16 June 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	20 July 2023
16 June 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	20 July 2023
16 June 2023	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	No	Deficient, Provider has date of correction	20 July 2023
16 June 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	20 July 2023
16 June 2023	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	20 July 2023
16 June 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	20 July 2023
16 June 2023	Health	F 0838	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	C	No	Deficient, Provider has date of correction	20 July 2023
16 June 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	K	No	Deficient, Provider has date of correction	14 July 2023
6 November 2020	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	18 December 2020
6 November 2020	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	18 December 2020
6 November 2020	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	18 December 2020
6 November 2020	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	E	No	Deficient, Provider has date of correction	28 December 2020
6 November 2020	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	18 December 2020
6 November 2020	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	E	No	Deficient, Provider has date of correction	18 December 2020
6 November 2020	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	18 December 2020
6 November 2020	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	21 December 2020
6 November 2020	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	18 December 2020

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
28 February 2025	Fine	$69,178			90766

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	NATHAN RICHARD HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services	1993-10-12
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Vernon
Telephone Number	4176678889
Chain Name	RELIANT CARE MANAGEMENT
Chain ID	446
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	68
Average Number of Residents per Day	61.1
Overall Rating	1
Health Inspection Rating	2
QM Rating	2
Long-Stay QM Rating	2
Processing Date	2026-08-01

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

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The citable document for NATHAN RICHARD HEALTH CARE CENTER

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