Facility record report · CMS certification number 265732

BENTLEYS EXTENDED CARE

OVERLAND, Missouri · Medicare and Medicaid

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 6 January 2026.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$3,537,318	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$158,430	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,695,748	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,064,903	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$369,155	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$41,582	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$327,573	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$327,573 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	26,352	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,229	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	11,062	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	4,820	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	17,111	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	11	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	40	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	32	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	83	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	111.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	276.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	206.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446020, read from the public cost report file SNF10FY2024.zip.

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 20 May 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$3,451,556	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$307,517	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,759,073	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,110,563	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$351,490	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$77,578	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$273,912	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$273,912 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,121	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	90	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	275.32	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	179.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1422102, read from the public cost report file SNF10FY2023.zip.

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 5 June 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$3,588,022	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$77,009	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,665,031	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,511,811	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$153,220	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$54,064	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$207,284	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $207,284 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,480	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	89	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	276	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	185.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1381269, read from the public cost report file SNF10FY2022.zip.

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 29 November 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,250,489	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$51,606	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,198,883	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,520,492	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$321,609	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$968,607	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$646,998	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $646,998 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,573	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	129	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	257.47	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1336898, read from the public cost report file SNF10FY2021.zip.

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	$4,298,788	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$211,989	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,510,777	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,795,240	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$715,537	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$17,309	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$732,846	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $732,846 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,245	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	184	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	256.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	110.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1326771, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 December 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,900,685	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$147,448	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,753,237	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,437,939	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$315,298	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,259	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$336,557	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $336,557 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,272	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	130	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	255.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	155.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1276611, read from the public cost report file SNF10FY2019.zip.

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 21 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,027,348	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$325,768	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,701,580	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,658,612	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$42,968	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,201	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$62,169	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $62,169 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,562	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	61	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,008.53	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	337.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241591, read from the public cost report file SNF10FY2018.zip.

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 23 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,143,976	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$271,271	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,872,705	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,923,138	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$50,433	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$28,449	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$21,984	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$21,984 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,285	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	86	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	405.58	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	235.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210271, read from the public cost report file SNF10FY2017.zip.

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 10 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,988,631	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$536,733	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,451,898	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,142,322	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$309,576	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$36,541	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$346,117	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $346,117 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,287	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	142	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.49	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	407.84	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	156.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1172719, read from the public cost report file SNF10FY2016.zip.

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 3 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$4,786,330	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$453,214	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,333,116	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,148,281	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$184,835	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$35,760	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$220,595	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $220,595 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,108	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	137	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	409.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	168.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1139561, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled with audit, processed by CMS on 3 August 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,945,435	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$631,770	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,313,665	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,119,709	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$193,956	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$50,231	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$244,187	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $244,187 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,798	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	34.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	449.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	193.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1106559, read from the public cost report file SNF10FY2014.zip.

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	$5,082,188	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$354,063	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,728,125	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,486,644	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$241,481	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$36,640	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$278,121	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $278,121 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,586	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	193	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	333.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	127.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1072913, read from the public cost report file SNF10FY2013.zip.

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 24 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,969,192	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$624,967	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,344,225	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,225,674	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$118,551	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$53,974	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$172,525	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $172,525 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,385	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	27.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	348.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	123.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1043698, read from the public cost report file SNF10FY2012.zip.

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 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$4,894,449	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$245,338	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,649,111	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,431,688	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$217,423	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$46,089	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$263,512	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $263,512 (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	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,224	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	199	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.01	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	347.95	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	121.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013866, read from the public cost report file SNF10FY2011.zip.

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 2 August 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,312,200	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,287,343	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$24,857	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$53,376	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $78,233 (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	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,251	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	198	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	350.91	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 414275, read from the public cost report file SNFFY2010.zip.

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 22 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,191,956	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,046,717	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$145,239	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$58,414	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $203,653 (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	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,201	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	160	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	317.57	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	151.26	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 383127, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$4,014,245	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,022,124	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$7,879	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$47,384	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $39,505 (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	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,391	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	182	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.19	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	306.94	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	134.02	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 350398, read from the public cost report file SNFFY2008.zip.

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 4 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,831,971	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,805,793	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$26,178	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$59,047	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $85,225 (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	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,851	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	187	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	301	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	132.89	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 322716, read from the public cost report file SNFFY2007.zip.

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 23 April 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,931,651	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,843,492	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$88,159	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$75,398	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $163,557 (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	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,015	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	216	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.64	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	264.18	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	115.81	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 306205, read from the public cost report file SNFFY2006.zip.

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 17 August 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,526,389	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,710,991	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$184,602	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$42,550	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$142,052 (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	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,474	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	191	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.78	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	263.65	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	128.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 261396, read from the public cost report file SNFFY2005.zip.

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 20 June 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,341,535	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,579,017	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$237,482	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$43,449	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$194,033 (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	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,275	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	229	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	217.63	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	106	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 254886, read from the public cost report file SNFFY2004.zip.

Cost report for 20 July 2003 to 31 December 2003 — a reporting period of 164 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 14 July 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$1,615,187	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,463,314	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$151,873	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$15,482	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: $167,353 (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	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,974	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	111	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.77	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	216.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	98.86	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 227844, read from the public cost report file SNFFY2003.zip.

Cost report for 1 June 2002 to 31 December 2002 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 17 June 2005.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$1,724,124	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,622,608	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$101,516	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$35,766	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $137,282 (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	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,188	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	38	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	71.27	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	813.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	373.37	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 223765, read from the public cost report file SNFFY2002.zip.

Five facilities of a similar size in Missouri, fiscal year 2024

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
BENTLEYS EXTENDED CARE	72	17,111	$3,695,748	$4,064,903	−$369,155	31 December 2024
GIDEON CARE CENTER	72	22,595	$5,153,778	$4,946,614	$207,164	31 December 2024
GOOD SAMARITAN CARE CENTER	72	18,833	$4,210,991	$4,560,654	−$349,663	30 June 2024
MARSHFIELD CARE CENTER FOR REHAB AND	74	17,478		$5,556,392	−$5,556,392	31 December 2024
MEMORY LANE OF DEXTER	73	22,648	$5,036,501	$4,625,762	$410,739	31 December 2024
OAK KNOLL NURSING & REHAB	72	23,372	$5,181,514	$4,874,459	$307,055	31 December 2024

Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.

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
BENTLEY, DAVID JOE	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	100%	since 07/18/2003
BENTLEY, GAYLA DENISE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/02/1999
GAO, SHAWN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2017
BENTLEY, DAVID JOE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 06/23/2004
BENTLEY, DAVID JOE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 09/02/1999
BENTLEY, GAYLA DENISE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 07/18/2003
GAO, SHAWN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2017

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ASHBY ROAD INC (enrollment ID O20040623000508).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
DAVID JOE BENTLEY	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	7/18/2003	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.
GAYLA DENISE BENTLEY	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.	9/2/1999	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.
SHAWN MICHAEL GAO	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2017	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.
DAVID JOE BENTLEY	Individual	CORPORATE DIRECTOR	100	6/23/2004	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID JOE BENTLEY	Individual	CORPORATE OFFICER	100	9/2/1999	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.
GAYLA DENISE BENTLEY	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.	7/18/2003	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.
SHAWN MICHAEL GAO	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.	1/1/2017	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 September 2025: DAVID JOE BENTLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GAYLA DENISE BENTLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SHAWN MICHAEL GAO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SHAWN MICHAEL GAO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DAVID JOE BENTLEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GAYLA DENISE BENTLEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	24 October 2024	24 October 2024	31	5
2	30 June 2023	30 June 2023	27	12
3	7 November 2019	7 November 2019	9	4

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

Deficiencies cited

67 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
20 May 2026	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.	G	Yes	Deficient, Provider has date of correction	14 June 2026
30 April 2026	Health	F 0728	Nursing and Physician Services Deficiencies	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	E	Yes	Deficient, Provider has date of correction	14 June 2026
30 April 2026	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	14 June 2026
25 February 2026	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	15 March 2026
25 February 2026	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	G	Yes	Deficient, Provider has date of correction	15 March 2026
10 December 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	15 March 2026
10 December 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.	E	Yes	Deficient, Provider has date of correction	13 February 2026
10 December 2025	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	Yes	Deficient, Provider has date of correction	15 March 2026
30 April 2025	Health	F 0790	Quality of Life and Care Deficiencies	Provide routine and 24-hour emergency dental care for each resident.	D	Yes	Deficient, Provider has date of correction	28 May 2025
4 February 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.	J	Yes	Deficient, Provider has date of correction	4 February 2025
4 February 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	28 February 2025
4 February 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.	G	Yes	Deficient, Provider has date of correction	28 February 2025
24 October 2024	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.	E	No	Deficient, Provider has date of correction	6 December 2024
24 October 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	6 December 2024
24 October 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	6 December 2024
24 October 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	6 December 2024
24 October 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	15 November 2024
24 October 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	15 November 2024
24 October 2024	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	15 November 2024
24 October 2024	Health	F 0678	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	D	No	Deficient, Provider has date of correction	15 November 2024
24 October 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	6 December 2024
24 October 2024	Health	F 0687	Quality of Life and Care Deficiencies	Provide appropriate foot care.	D	No	Deficient, Provider has date of correction	6 December 2024
24 October 2024	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.	E	No	Deficient, Provider has date of correction	6 December 2024
24 October 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	6 December 2024
24 October 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	E	No	Deficient, Provider has date of correction	15 November 2024
24 October 2024	Health	F 0728	Nursing and Physician Services Deficiencies	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	D	No	Deficient, Provider has date of correction	6 December 2024
24 October 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	6 December 2024
24 October 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	6 December 2024
24 October 2024	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	6 December 2024
24 October 2024	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	6 December 2024
24 October 2024	Health	F 0851	Administration Deficiencies	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	F	No	Deficient, Provider has date of correction	6 December 2024
24 October 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	17 December 2024
24 October 2024	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	6 December 2024
24 October 2024	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	E	No	Deficient, Provider has date of correction	6 December 2024
24 October 2024	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.	E	No	Deficient, Provider has date of correction	6 December 2024
3 July 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	Yes	Deficient, Provider has date of correction	17 August 2024
30 June 2023	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	30 June 2023
30 June 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	26 July 2023
30 June 2023	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	21 July 2023
30 June 2023	Health	F 0636	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D	No	Deficient, Provider has date of correction	30 June 2023
30 June 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	30 June 2023
30 June 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	13 July 2023
30 June 2023	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	26 July 2023
30 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.	K	No	Deficient, Provider has date of correction	30 June 2023
30 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.	K	No	Deficient, Provider has date of correction	30 June 2023
30 June 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	G	No	Deficient, Provider has date of correction	21 July 2023
30 June 2023	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	28 July 2023
30 June 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.	K	No	Deficient, Provider has date of correction	30 June 2023
30 June 2023	Health	F 0728	Nursing and Physician Services Deficiencies	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	F	No	Deficient, Provider has date of correction	13 July 2023
30 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	28 July 2023
30 June 2023	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	28 July 2023
30 June 2023	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	28 July 2023
30 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	28 July 2023
30 June 2023	Health	F 0835	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	F	No	Deficient, Provider has date of correction	1 August 2023
30 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.	F	No	Deficient, Provider has date of correction	21 July 2023
30 June 2023	Health	F 0867	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	F	No	Deficient, Provider has date of correction	31 July 2023
30 June 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	21 August 2023
30 June 2023	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	F	No	Deficient, Provider has date of correction	26 July 2023
30 June 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.	F	No	Deficient, Provider has date of correction	18 July 2023
7 November 2019	Health	F 0577	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	C	No	Deficient, Provider has date of correction	5 December 2019
7 November 2019	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	E	No	Deficient, Provider has date of correction	10 December 2019
7 November 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.	D	No	Deficient, Provider has date of correction	10 December 2019
7 November 2019	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	E	No	Deficient, Provider has date of correction	10 December 2019
7 November 2019	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	10 December 2019
7 November 2019	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	10 December 2019
7 November 2019	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	No	Deficient, Provider has date of correction	10 December 2019
7 November 2019	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	10 December 2019

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
10 December 2025	Payment Denial		10 March 2026	5
4 February 2025	Fine	$28,969			90714

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	ASHBY ROAD INC
Date First Approved to Provide Medicare and Medicaid Services	2002-06-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	St. Louis
Telephone Number	3144260433
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	72
Average Number of Residents per Day	52.3
Overall Rating	1
Health Inspection Rating	1
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.

Every change on this record

6 January 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 September 2025: DAVID JOE BENTLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GAYLA DENISE BENTLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SHAWN MICHAEL GAO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SHAWN MICHAEL GAO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DAVID JOE BENTLEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GAYLA DENISE BENTLEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
20 May 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
5 June 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
29 November 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
17 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
21 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
23 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
10 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
3 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
3 August 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
24 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
2 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
22 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
14 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
4 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
23 April 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
17 August 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
20 June 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
14 July 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
11 July 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
17 June 2005: 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, BENTLEYS EXTENDED CARE — facility record report, CMS certification number 265732. https://velarionrecords.com/facility/265732/report.

Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file SNF10FY2024.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.
Nurse staffing: CMS Payroll-Based Journal, quarters 2017Q1 to 2017Q4.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 265732. 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.

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	5,365	552	3,219	10,062.8	13,833.8
2017Q4	31 December 2017	92	4,835	668	2,987.5	13,409	17,064.5

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.102889	0.6	1.875638	2.578527
2017Q4	0.138159	0.61789	2.77332	3.529369

How each quarter is derived, and its file

2017Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_rn_donadmin, hrs_lpn_admin, hrs_na_trn; they are read as hrs_rndon, hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv
2017Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv

← the facility’s full record