Skilled nursing facility · CMS certification number 265747

RATLIFF CARE CENTER

CAPE GIRARDEAU, Missouri · Medicare and Medicaid

Certified beds, as filed in Care Compare: 46

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 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$4,178,023	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$405,037	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,772,986	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,610,834	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$162,152	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,605	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$166,757	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $166,757 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	16,836	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,138	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	8,494	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	4,777	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	14,409	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	10	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	27	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	29	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	66	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	113.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	314.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	218.32	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434603, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 May 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$3,884,445	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$121,276	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,763,169	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,572,477	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$190,692	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,096	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$195,788	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $195,788 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,012	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	70	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	80.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	248.71	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	214.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1422107, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$3,946,941	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$529,110	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,417,831	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,596,348	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$178,517	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,647	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$164,870	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$164,870 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,187	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	105	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	262.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	125.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1363244, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,399,051	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$493,608	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,905,443	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,450,308	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$544,865	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$20,666	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$524,199	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$524,199 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,251	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	93	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	655	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331983, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,398,874	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$244,463	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,154,411	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,522,829	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$368,418	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$716,219	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$347,801	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $347,801 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,584	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	105	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	179.58	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	129.37	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1290989, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 May 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,544,130	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$390,274	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,153,856	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,494,190	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$340,334	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$37,664	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$302,670	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$302,670 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,615	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	26.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	175.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	106.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1255496, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,765,051	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$481,622	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,283,429	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,502,349	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$218,920	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,175	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$200,745	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$200,745 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,638	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	112	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	196.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	130.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237967, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 June 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,921,211	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$572,573	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,348,638	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,497,824	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$149,186	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$27,392	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$121,794	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$121,794 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,617	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	138	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	199.03	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	105.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1195008, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 8 June 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,545,268	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$402,617	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,142,651	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,295,263	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$152,612	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$26,460	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$126,152	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$126,152 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,082	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	125	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	210.81	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1160242, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,641,317	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$515,131	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,126,186	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,143,105	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$16,919	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$25,210	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$8,291	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $8,291 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,939	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	125	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	332.32	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	119.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1136733, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 May 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$3,276,937	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$379,456	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,897,481	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,027,178	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$129,697	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,768	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$110,929	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$110,929 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,151	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	108	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	418.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	140.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1090972, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$3,280,886	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$303,398	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,977,488	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,012,612	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$35,124	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$32,028	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$3,096	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,096 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,715	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	119	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	204.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	132.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1072914, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 June 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$3,354,600	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$419,874	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,934,726	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,953,378	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$18,652	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,266	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$4,386	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,386 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,426	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	122	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	302.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	126.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1039677, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$3,253,959	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$377,799	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,876,160	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,745,075	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$131,085	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,425	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$147,510	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $147,510 (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	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,673	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	37.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	310.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	112.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013875, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,860,100	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,772,865	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$87,235	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$18,082	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $105,317 (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	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,224	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	103	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	59.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	360.24	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	147.81	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 413209, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 June 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,800,336	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,717,018	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$83,318	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,614	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $96,932 (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	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,902	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	84	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.82	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	419	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	189.31	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 373945, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

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

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,515,134	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,570,426	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$55,292	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$17,534	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$37,758 (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	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,728	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	91	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	331.64	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	172.84	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 349265, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 July 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$2,491,475	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,486,332	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$5,143	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,183	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $17,326 (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	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,160	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	130	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	246.2	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	116.62	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 321692, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 April 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,200,140	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,237,734	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$37,594	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,805	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$20,789 (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	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,926	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	124	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.64	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	226.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	120.37	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 306848, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 August 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,150,893	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,198,534	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$47,641	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$15,570	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$32,071 (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	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,159	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	105	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	70.12	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	368.89	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	144.37	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 260820, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 July 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,119,031	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,109,276	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$9,755	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,413	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $22,168 (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	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,696	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	76	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	75.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	501.4	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	206.53	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 259861, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 August 2006.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,025,866	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,145,463	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$119,597	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,669	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$105,928 (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	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,448	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	93	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	54.45	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	387.04	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	166.11	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 260475, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 25 October 2002 to 31 December 2002 — a reporting period of 67 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 16 June 2004.

None of these figures is carried on this report.

CMS report record 182481, read from the public cost report file SNFFY2003.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
RATLIFF ENTERPRISES LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 12/31/1999
RATLIFF REVOCABLE TRUST	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 02/13/2019
RATLIFF, EMMAGENE	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	100%	since 02/13/2019
CHOICE REHABILITATION LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/24/2025
PALEN, JAMES	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/14/2025
RATLIFF ENTERPRISES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/14/2025
RATLIFF REVOCABLE TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/13/2019
RATLIFF, EMMAGENE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/19/2024
RATLIFF, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/14/2025
STRICKLAND, CHERYL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/24/2025
SWINDLE, AFTAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/14/2025
STRICKLAND, CHERYL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/24/2025
CHOICE REHABILITATION LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/24/2025
FORVIS MAZARS LLP	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/14/2025
RATLIFF REVOCABLE TRUST	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/14/2025
RATLIFF, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/14/2025
STRICKLAND, CHERYL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/24/2025
RATLIFF, EMMAGENE	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 02/13/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of RATLIFF ENTERPRISES LLC (enrollment ID O20021212000016).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
RATLIFF ENTERPRISES LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	12/31/1999	Private equity company: No Real estate investment trust: No Holding company: No
RATLIFF REVOCABLE TRUST	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	2/13/2019	Private equity company: No Real estate investment trust: No Holding company: No
EMMAGENE RATLIFF	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	2/13/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AFTAN SWINDLE	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.	1/14/2025	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.
CHERYL STRICKLAND	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.	2/24/2025	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.
CHOICE REHABILITATION LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/24/2025	Private equity company: No Real estate investment trust: No Holding company: No
EMMAGENE RATLIFF	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.	3/19/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES R PALEN	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.	1/14/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL EUGENE RATLIFF	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.	1/14/2025	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.
RATLIFF ENTERPRISES LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
RATLIFF REVOCABLE TRUST	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/13/2019	Private equity company: No Real estate investment trust: No Holding company: No
CHERYL STRICKLAND	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.	2/24/2025	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.
CHERYL STRICKLAND	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.	2/24/2025	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.
CHOICE REHABILITATION LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/24/2025	Private equity company: No Real estate investment trust: No Holding company: No
FORVIS MAZARS LLP	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
MICHAEL EUGENE RATLIFF	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.	1/14/2025	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.
RATLIFF REVOCABLE TRUST	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
EMMAGENE RATLIFF	Individual	TRUSTEE 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.	2/13/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: CHERYL STRICKLAND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL STRICKLAND no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL STRICKLAND no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL STRICKLAND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL STRICKLAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL STRICKLAND appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 May 2025: RATLIFF ENTERPRISES LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: AFTAN SWINDLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHOICE REHABILITATION LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHOICE REHABILITATION LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JAMES R PALEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: FORVIS MAZARS LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: EMMAGENE RATLIFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: EMMAGENE RATLIFF appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: EMMAGENE RATLIFF appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL EUGENE RATLIFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL EUGENE RATLIFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RATLIFF ENTERPRISES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RATLIFF REVOCABLE TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RATLIFF REVOCABLE TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RATLIFF REVOCABLE TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHERYL STRICKLAND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHERYL STRICKLAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHERYL STRICKLAND appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 February 2025: EMMAGENE RATLIFF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MICHAEL EUGENE RATLIFF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RATLIFF ENTERPRISES LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 January 2025: CARLOS EUGENE RATLIFF no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv

Recent changes on this record

1 July 2026: CHERYL STRICKLAND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL STRICKLAND no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL STRICKLAND no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL STRICKLAND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL STRICKLAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHERYL STRICKLAND appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
6 May 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 May 2025: RATLIFF ENTERPRISES LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: AFTAN SWINDLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHOICE REHABILITATION LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHOICE REHABILITATION LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JAMES R PALEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: FORVIS MAZARS LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: EMMAGENE RATLIFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: EMMAGENE RATLIFF appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: EMMAGENE RATLIFF appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL EUGENE RATLIFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL EUGENE RATLIFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RATLIFF ENTERPRISES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RATLIFF REVOCABLE TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RATLIFF REVOCABLE TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RATLIFF REVOCABLE TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHERYL STRICKLAND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHERYL STRICKLAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHERYL STRICKLAND appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 February 2025: EMMAGENE RATLIFF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MICHAEL EUGENE RATLIFF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RATLIFF ENTERPRISES LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 January 2025: CARLOS EUGENE RATLIFF no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
25 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
29 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
14 May 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
23 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
22 June 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
8 June 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
20 May 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

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	30 May 2025	30 May 2025	8	1
2	16 May 2024	16 May 2024	5	2
3	23 March 2023	23 March 2023	7	1

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

Deficiencies cited

20 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
30 May 2025	Health	F 0570	Resident Rights Deficiencies	Assure the security of all personal funds of residents deposited with the facility.	E	No	Deficient, Provider has date of correction	11 July 2025
30 May 2025	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	No	Deficient, Provider has date of correction	11 July 2025
30 May 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	No	Deficient, Provider has date of correction	11 July 2025
30 May 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	11 July 2025
30 May 2025	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	11 July 2025
30 May 2025	Health	F 0729	Nursing and Physician Services Deficiencies	Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.	D	No	Deficient, Provider has date of correction	11 July 2025
30 May 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	11 July 2025
30 May 2025	Health	F 0947	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	D	No	Deficient, Provider has date of correction	11 July 2025
16 May 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	28 June 2024
16 May 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	28 June 2024
16 May 2024	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	D	No	Deficient, Provider has date of correction	28 June 2024
16 May 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	28 June 2024
16 May 2024	Health	F 0909	Environmental Deficiencies	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.	D	No	Deficient, Provider has date of correction	28 June 2024
23 March 2023	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	C	No	Deficient, Provider has date of correction	5 May 2023
23 March 2023	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	5 May 2023
23 March 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	5 May 2023
23 March 2023	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	5 May 2023
23 March 2023	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	D	No	Deficient, Provider has date of correction	5 May 2023
23 March 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	5 May 2023
23 March 2023	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.	D	No	Deficient, Provider has date of correction	5 May 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Individual
Legal Business Name	RATLIFF ENTERPRISES LLC
Date First Approved to Provide Medicare and Medicaid Services	2002-10-25
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Cape Girardeau
Telephone Number	5733355810
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	46
Average Number of Residents per Day	40.6
Overall Rating	3
Health Inspection Rating	4
QM Rating	2
Long-Stay QM Rating	1
Short-Stay QM Rating	3
Processing Date	2026-08-01

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

Get an email when this record changes

One email a day naming what moved on RATLIFF CARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: CHERYL STRICKLAND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for RATLIFF CARE CENTER

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Missouri at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 265747.