Facility record report · CMS certification number 265722
COUNTRY MANOR NURSING CENTER LLC
ST LOUIS, Missouri
This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026.
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 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 June 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,096,880 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,541,877 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$444,997 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $784 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$444,213 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Bed days available, all components | 37,904 | CMS-2540-96 worksheet S300001 line 900 column 200 |
| Medicare (Title XVIII) patient days | 340 | CMS-2540-96 worksheet S300001 line 900 column 400 |
| Medicaid (Title XIX) patient days | 8,694 | CMS-2540-96 worksheet S300001 line 900 column 500 |
| Other-payer patient days | 971 | CMS-2540-96 worksheet S300001 line 900 column 600 |
| Total patient days, all components | 10,005 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Medicare discharges | 13 | CMS-2540-96 worksheet S300001 line 900 column 900 |
| Medicaid discharges | 63 | CMS-2540-96 worksheet S300001 line 900 column 1000 |
| Other-payer discharges | 4 | CMS-2540-96 worksheet S300001 line 900 column 1100 |
| Total discharges, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 138 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 125.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 255972, read from the public cost report file SNFFY2003.zip.
Cost report for 1 May 2002 to 31 December 2002 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 12 July 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,537,307 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,750,607 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$213,300 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$213,300 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,485 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 179 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 154.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 125.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 257672, read from the public cost report file SNFFY2002.zip.
Cost report for 15 October 2001 to 31 December 2001 — a reporting period of 77 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 21 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,948,494 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $928,834 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,019,660 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,673 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,271,906 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,249,573 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 5,936 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 90.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 77.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195580, read from the public cost report file SNFFY2002.zip.
Five facilities of a similar size in Missouri, fiscal year 2003
Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.
| Facility | Total facility beds | Total patient days | Net patient revenue | Total operating expenses | Net income from service to patients | Period ended |
|---|---|---|---|---|---|---|
| CARMEL HILLS LIVING CENTER | 201 | 39,185 | $5,486,164 | $5,723,544 | −$237,380 | 31 December 2003 |
| COUNTRY MANOR NURSING CENTER LLC | 206 | 10,005 | $1,096,880 | $1,541,877 | −$444,997 | 31 December 2003 |
| HARRY S. TRUMAN RESTORATIVE CENTER | 220 | 43,641 | $5,572,880 | $8,102,221 | −$2,529,341 | 9 May 2003 |
| KANSAS CITY CARE AND REHAB | 194 | 17,339 | $2,115,335 | $2,464,076 | −$348,741 | 31 December 2003 |
| NHC HEALTHCARE MARYLAND HEIGHTS | 220 | 73,564 | $9,711,604 | $10,733,312 | −$1,021,708 | 31 December 2003 |
| SPRINGFIELD SKILLED CARE CENTER & TH | 203 | 62,102 | $5,493,718 | $5,135,971 | $357,747 | 31 December 2003 |
Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-96 worksheet S300001 line 900 column 100 · Total patient days: CMS-2540-96 worksheet S300001 line 900 column 700 · Net patient revenue: CMS-2540-96 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-96 worksheet G200002 line 1500 column 100 · Net income from service to patients: CMS-2540-96 worksheet G300000 line 500 column 100.
Ownership, as filed with CMS
Care Compare
Not yet extracted for this facility.
Medicare enrollment
Not yet extracted for this facility.
Changes in ownership
Not yet extracted for this facility.
Inspections
Not yet extracted for this facility.
Deficiencies cited
Not yet extracted for this facility.
Penalties
Not yet extracted for this facility.
Care Compare provider information
Not yet extracted for this facility.
Every change on this record
- 12 July 2006: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 27 June 2006: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 21 September 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2002.zip
- 1 September 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
How to read this report
Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.
A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.
This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.
How to cite this report
Velarion Records, COUNTRY MANOR NURSING CENTER LLC — facility record report, CMS certification number 265722. https://velarionrecords.com/facility/265722/report.
- Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-96, publication year 2003, file
SNFFY2003.zip. - Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
- Care Compare ownership: CMS file dated 1 August 2026.
- Medicare enrollment ownership: CMS file dated 1 August 2026.
Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 265722. Velarion Records publishes these records as filed.
Nurse staffing, quarter by quarter
Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.
Not yet extracted for this facility.