Skilled nursing facility · CMS certification number 265717

GRAND MANOR HEALTH CARE CENTER

SAINT LOUIS, Missouri · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 May 2024 to 31 December 2024 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$5,633,690	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$163,559	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,470,131	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,125,883	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$344,248	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$27,774	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$372,022	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $372,022 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	29,400	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	181	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	22,539	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	1,562	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	24,282	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	5	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	20	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	4	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	29	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,126.95	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	837.31	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437310, 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 6 May 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,810,124	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$91,656	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,901,780	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,251,963	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,350,183	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$63,954	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,286,229	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,286,229 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,510	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	56	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	94.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	486	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	419.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1422100, 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 29 May 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,202,115	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$40,143	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,161,972	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,948,244	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$786,272	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$513,354	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$272,918	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$272,918 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,623	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	174	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	81.19	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	156.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	147.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1379666, 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 26 October 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,213,934	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$247,861	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,461,795	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,448,458	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$986,663	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,873	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$973,790	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$973,790 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,554	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	156	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	208.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	170.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335691, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,903,924	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$479,786	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,383,710	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,540,924	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,157,214	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$874,335	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$282,879	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$282,879 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,927	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	213	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	167.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	135.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1327528, 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 25 November 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$7,188,228	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$242,258	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,945,970	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,818,489	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$127,481	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,557	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$137,038	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $137,038 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,570	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	197	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	213.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	185.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274377, 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 14 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$7,226,007	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$280,697	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,945,310	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,001,836	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$56,526	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,419	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$35,107	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$35,107 (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 2018
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,546	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	202	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	76.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	204.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	180.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240755, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$7,304,518	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$9,054	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,295,464	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,096,555	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$198,909	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$23,533	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$222,442	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $222,442 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,265	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	209	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	71.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	203.77	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	183.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209109, 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 1 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$7,915,791	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$230,343	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,685,448	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,986,589	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$698,859	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,213	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$713,072	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $713,072 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,564	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	202	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	85.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	210.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	190.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171471, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,066,907	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$816,513	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,250,394	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,130,752	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$119,642	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$38,526	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$158,168	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $158,168 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,973	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	233	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	188.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	158.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138640, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,781,506	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$821,959	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,959,547	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,058,177	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$901,370	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$41,109	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$942,479	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $942,479 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,083	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	234	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	234.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	162.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105545, 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	$7,786,071	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$330,002	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,456,069	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,790,268	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$665,801	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$31,462	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$697,263	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $697,263 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,433	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	268	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.72	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	185.77	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	135.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1072725, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 February 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$7,059,025	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$25,117	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,033,908	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,676,253	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$357,655	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$27,562	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$385,217	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $385,217 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,542	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	348	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	135.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	99.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1056007, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 April 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$6,470,229	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$49,645	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,519,874	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,423,888	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$95,986	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$184,894	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$280,880	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $280,880 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,734	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	346	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	121.04	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	103.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1028247, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 August 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$6,231,062	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,630,436	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$600,626	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$25,749	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $626,375 (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 2010
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,874	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	382	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.07	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	117.18	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	93.91	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414930, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

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

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$6,234,468	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,499,184	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$735,284	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$30,578	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $765,862 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,012	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	343	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.23	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	134.35	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	104.99	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 379989, 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 29 May 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$5,728,847	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,267,968	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$460,879	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$48,800	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $509,679 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,714	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	344	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	138.54	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	106.73	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 340827, 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.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$5,389,316	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,128,248	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$261,068	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$36,456	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $297,524 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,815	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	371	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.17	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	129.24	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	99.23	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 320037, 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 13 March 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,845,297	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,816,335	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$28,962	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$33,275	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $62,237 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,265	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	255	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.14	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	193.07	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	142.22	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 304427, 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 22 September 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$5,210,926	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,927,923	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$283,003	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,050	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $291,053 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,420	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	183	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	356.29	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	204.48	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 263843, 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 26 July 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$5,623,074	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,818,320	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$804,754	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,935	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $821,689 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,406	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	284	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.37	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	177.44	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	138.75	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 259860, 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 12 May 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$5,174,309	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,710,801	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$463,508	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$33,441	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $496,949 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,809	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	443	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.84	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	116.62	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	92.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 216697, 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 19 April 2005.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$4,814,744	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,328,884	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$485,860	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$23,932	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $509,792 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,593	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	288	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.12	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	191.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	127.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 214653, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 18 December 2000 to 31 December 2001 — a reporting period of 378 days, on form CMS-2540-96, settled, processed by CMS on 18 April 2005.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$4,478,321	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,147,624	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$330,697	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$31,864	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: $362,559 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,996	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	349	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	122.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	103.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 213464, read from the public cost report file SNFFY2001.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
GRAND MANOR ASSOCIATES LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 05/01/2024
RCG INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/10/2024
RELIANT CARE GROUP OF WEBSTER INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/10/2024
TLG II LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/10/2024
ARSHAD, ABDULLAH	CONTRACTED MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 05/01/2024
DESTEFANE, RICHARD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/01/2024
RELIANT CARE MANAGEMENT COMPANY LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/10/2024
ALLEN, ROBIN	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 05/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of GRAND MANOR HEALTH CARE CENTER LLC (enrollment ID O20241115002740).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
RELIANT CARE GROUP LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/1/2024	Private equity company: No Real estate investment trust: No Holding company: Yes
RICHARD J DESTEFANE	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	5/1/2024	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.
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	5/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
GRAND MANOR ASSOCIATES LLC	Organization	5% OR GREATER MORTGAGE INTEREST	100	5/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
RCG INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/10/2024	Private equity company: No Real estate investment trust: No Holding company: Yes
RELIANT CARE GROUP OF WEBSTER INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/10/2024	Private equity company: No Real estate investment trust: No Holding company: Yes
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.	12/10/2024	Private equity company: No Real estate investment trust: No Holding company: Yes
ABDULLAH ARSHAD	Individual	CONTRACTED 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.	5/1/2024	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.
RICHARD J DESTEFANE	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.	5/1/2024	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.
RELIANT CARE MANAGEMENT COMPANY LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/10/2024	Private equity company: No Real estate investment trust: No Holding company: No
ROBIN ALLEN	Individual	W-2 MANAGING EMPLOYEE	100	5/1/2024	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.

Changes in ownership

1 February 2025: ALBERT MILSTEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: NATHAN & SHIRLEY ROTHNER FAMILY TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: SHELDON WOLFE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MAKHLOUF SUISSA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MAKHLOUF SUISSA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: BINYAMIN M. KLEIN TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: HEALTHCARE MANAGEMENT ASSOCIATES, LLC no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RONNIE KLEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: ROBIN ALLEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RELIANT CARE GROUP OF WEBSTER INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: GRAND MANOR ASSOCIATES LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: ABDULLAH ARSHAD appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RELIANT CARE MANAGEMENT COMPANY LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: TLG II LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RELIANT CARE GROUP LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RICHARD J DESTEFANE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RICHARD J DESTEFANE appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RICHARD J. DESTEFANE REVOCABLE LIVING TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RCG INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv

Recent changes on this record

29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
6 May 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
24 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 February 2025: ALBERT MILSTEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: NATHAN & SHIRLEY ROTHNER FAMILY TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: SHELDON WOLFE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MAKHLOUF SUISSA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MAKHLOUF SUISSA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: BINYAMIN M. KLEIN TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: HEALTHCARE MANAGEMENT ASSOCIATES, LLC no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RONNIE KLEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: ROBIN ALLEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RELIANT CARE GROUP OF WEBSTER INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: GRAND MANOR ASSOCIATES LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: ABDULLAH ARSHAD appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RELIANT CARE MANAGEMENT COMPANY LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: TLG II LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RELIANT CARE GROUP LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RICHARD J DESTEFANE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RICHARD J DESTEFANE appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RICHARD J. DESTEFANE REVOCABLE LIVING TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RCG INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: enrollment_id changed from O20111019000079 to O20241115002740. Skilled_Nursing_Facility_Enrollments_:_2025-02-01.csv
29 May 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
26 October 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
22 July 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
25 November 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
14 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
1 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
28 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
27 July 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
26 February 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
30 April 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
9 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
14 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
29 May 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
13 March 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	13 September 2024	13 September 2024	15	3
2	14 July 2023	14 July 2023	20	14
3	6 December 2019	6 December 2019	11	3

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

Deficiencies cited

46 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
28 May 2026	Health	F 0555	Resident Rights Deficiencies	Honor the resident's right to choose his or her attending physician.	D	Yes	Past Non-Compliance
15 April 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Past Non-Compliance
3 February 2026	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	5 February 2026
17 November 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Past Non-Compliance	25 September 2025
17 November 2025	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	Yes	Deficient, Provider has date of correction	18 November 2025
17 November 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Past Non-Compliance	25 September 2025
17 November 2025	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E	Yes	Deficient, Provider has date of correction	18 November 2025
17 June 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E	Yes	Deficient, Provider has date of correction	14 July 2025
17 June 2025	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	Yes	Deficient, Provider has date of correction	14 July 2025
16 April 2025	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	Yes	Deficient, Provider has date of correction	30 May 2025
16 April 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E	Yes	Deficient, Provider has date of correction	14 July 2025
16 April 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Past Non-Compliance	2 April 2025
16 April 2025	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	Yes	Deficient, Provider has date of correction	14 July 2025
13 September 2024	Health	F 0567	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	E	No	Deficient, Provider has date of correction	25 October 2024
13 September 2024	Health	F 0568	Resident Rights Deficiencies	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	E	No	Deficient, Provider has date of correction	25 October 2024
13 September 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	25 October 2024
13 September 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	25 October 2024
13 September 2024	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	25 October 2024
13 September 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	25 October 2024
13 September 2024	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	25 October 2024
13 September 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	25 October 2024
13 February 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	27 March 2024
13 February 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	J	Yes	Deficient, Provider has date of correction	17 February 2024
14 July 2023	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	28 August 2023
14 July 2023	Health	F 0568	Resident Rights Deficiencies	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	E	No	Deficient, Provider has date of correction	28 August 2023
14 July 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	28 August 2023
14 July 2023	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	28 August 2023
14 July 2023	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	E	No	Deficient, Provider has date of correction	28 August 2023
14 July 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	28 August 2023
14 July 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.	E	No	Deficient, Provider has date of correction	28 August 2023
14 July 2023	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	28 August 2023
14 July 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	28 August 2023
14 July 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	28 August 2023
14 July 2023	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.	D	No	Deficient, Provider has date of correction	28 August 2023
14 July 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	28 August 2023
14 July 2023	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	E	No	Deficient, Provider has date of correction	28 August 2023
14 July 2023	Health	F 0882	Infection Control Deficiencies	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	E	No	Deficient, Provider has date of correction	28 August 2023
6 December 2019	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.	E	No	Deficient, Provider has date of correction	15 January 2020
6 December 2019	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	15 January 2020
6 December 2019	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.	B	No	Deficient, Provider has date of correction	15 January 2020
6 December 2019	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E	No	Deficient, Provider has date of correction	15 January 2020
6 December 2019	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.	E	No	Deficient, Provider has date of correction	15 January 2020
6 December 2019	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	15 January 2020
6 December 2019	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	E	No	Deficient, Provider has date of correction	15 January 2020
6 December 2019	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.	E	No	Deficient, Provider has date of correction	15 January 2020
6 December 2019	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	15 January 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
15 April 2026	Fine	$26,130			141069
13 February 2024	Fine	$99,988			90528

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 - Limited Liability company
Legal Business Name	GRAND MANOR HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services	2000-12-18
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	St. Louis City
Telephone Number	3145312352
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	120
Average Number of Residents per Day	107.6
Overall Rating	1
Health Inspection Rating	2
QM Rating	2
Long-Stay QM Rating	3
Short-Stay QM Rating	1
Processing Date	2026-08-01

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

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On 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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The citable document for GRAND MANOR HEALTH CARE CENTER

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