Skilled nursing facility · CMS certification number 265766
ELLISVILLE REHABILITATION AND NURSING
ELLISVILLE, Missouri · Medicare and Medicaid
Certified beds, as filed in Care Compare: 210
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 July 2024 to 31 December 2024 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,057,407 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $944,155 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,113,252 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,897,903 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $215,349 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,981 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $217,330 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $217,330 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 38,640 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,718 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 11,071 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,256 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,045 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 63 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 43 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 182 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 288 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.27 | 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 | 73.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1434605, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,125,390 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,324,866 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,800,524 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,285,580 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$485,056 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,094 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$443,962 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$443,962 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,098 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 482 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 487.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371616, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,858,051 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,682,146 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,175,905 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,043,378 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $132,527 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,673 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $170,200 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $170,200 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,225 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 414 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 104.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341582, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 March 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,728,590 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,901,843 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,826,747 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,359,479 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$532,732 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $666,273 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $133,541 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $133,541 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,670 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 528 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 71.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1312605, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 1 February 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,952,623 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,645,587 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,307,036 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,258,808 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$951,772 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $178,137 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$773,635 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$773,635 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,764 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 433 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 368.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279364, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,367,752 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,669,679 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,698,073 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,497,622 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$799,549 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $85,388 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$714,161 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$714,161 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,788 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 336 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 543.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249591, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,056,343 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,340,093 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,716,250 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,267,647 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,551,397 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $127,939 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,423,458 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,423,967 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,963 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 304 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 362.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218453, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 February 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,313,421 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,115,873 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,197,548 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,027,601 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$830,053 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $134,855 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$695,198 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$695,198 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,375 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 390 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 431.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183699, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 February 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,275,876 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,053,184 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,222,692 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,693,354 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$470,662 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $159,897 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$310,765 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$310,765 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,490 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 383.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 185.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152382, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 February 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,551,477 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,682,412 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,869,065 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,941,684 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$72,619 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $166,117 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $93,498 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $93,498 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,767 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 461 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 220.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119026, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,600,122 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,312,743 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,287,379 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,161,984 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $125,395 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $169,309 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $294,704 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $294,704 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,764 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 346 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 286.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084205, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 February 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,337,242 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,572,359 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,764,883 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,937,028 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$172,145 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $186,346 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $14,201 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $14,201 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,844 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 341 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 362.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055493, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,163,611 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,595,141 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,568,470 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,408,158 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $160,312 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $238,069 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $398,381 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $398,381 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,145 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 388 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 392.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1050071, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 February 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,222,426 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,622,134 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $600,292 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $204,088 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $804,380 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,396 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 360 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 403.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 164.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424652, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 January 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,115,532 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,441,610 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $673,922 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $152,531 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $826,453 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,239 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 361 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 532.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393258, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 January 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,078,937 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,331,920 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,747,017 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $160,015 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,907,032 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,265 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 431 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 339.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 132.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362394, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 29 January 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,897,144 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,804,547 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $92,597 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $137,611 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $230,208 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,727 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 430 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 399.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 332862, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 January 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,132,851 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,163,934 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$31,083 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $135,082 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $103,999 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,110 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 366 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 466.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 156.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300268, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 29 October 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,727,892 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,585,442 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$857,550 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $224,368 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$633,182 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,814 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 319 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 393.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 178.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295287, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 December 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,336,936 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,914,665 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$577,729 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $128,358 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$449,371 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,856 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 241 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 512.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 223.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 239146, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 14 August 2003 to 30 June 2004 — a reporting period of 321 days, on form CMS-2540-96, settled, processed by CMS on 2 March 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,992,986 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,174,635 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,181,649 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $97,329 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,084,320 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,017 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 171 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 633.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 274.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 209407, 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.
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 |
|---|---|---|---|---|
| ELLISVILLE OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/01/2024 |
| FISCHER, ELAZAR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 15% | since 07/01/2024 |
| ELLISVILLE PROPCO HOLDCO LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 07/01/2024 |
| ADS CAPITAL TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2024 |
| BARTH, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/06/2025 |
| BIRNBAUM, MOSHE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/18/2024 |
| ELLISVILLE PROPCO HOLDCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/26/2024 |
| FISCHER, ELAZAR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/18/2024 |
| ISRAEL DISCOUNT BANK OF NEW YORK - IDB BANK OF YORK | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/26/2024 |
| PC8 CAPITAL GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2024 |
| PHATAK, SARINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/06/2025 |
| SJ FAMILY TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2024 |
| SJ HEALTHCARE CAPITAL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2024 |
| SUPERIOR BACK OFFICE SOLUTIONS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2024 |
| ADS FAMILY TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 07/01/2024 |
| JJ FAMILY GRANTOR TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 07/01/2024 |
| PC8 CAPITAL GROUP LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 07/01/2024 |
| FISCHER, ELAZAR | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2024 |
| STERN, SIMON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2024 |
| BARTH, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/06/2025 |
| FISCHER, ELAZAR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/16/2024 |
| PHATAK, SARINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/06/2025 |
| STERN, AHARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2024 |
| STERN, SIMON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/18/2024 |
| BURTON, NOAH | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2024 |
| GREENWALD, BRIAN | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2024 |
| STERN, SHIFRA | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2024 |
| WEISS, HILLEL | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ELLISVILLE OPCO LLC (enrollment ID O20240807002780).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ELLISVILLE OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ADS CAPITAL TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 38 | 7/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELAZAR FISCHER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15 | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MOSHE BIRNBAUM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SJ FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 38 | 7/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| SJ HEALTHCARE CAPITAL LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40 | 7/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELLISVILLE PROPCO HOLDCO LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 7/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ADS CAPITAL 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. | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELAZAR FISCHER | 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. | 12/18/2024 | 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. |
| ELLISVILLE PROPCO HOLDCO 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. | 12/26/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ISRAEL DISCOUNT BANK OF NEW YORK - IDB BANK OF YORK | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL BARTH | 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. | 1/6/2025 | 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. |
| MOSHE BIRNBAUM | 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. | 12/18/2024 | 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. |
| PC8 CAPITAL GROUP 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. | 7/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| SARINA T PHATAK | 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. | 1/6/2025 | 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. |
| SJ FAMILY 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. | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| SJ HEALTHCARE CAPITAL 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. | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| SUPERIOR BACK OFFICE SOLUTIONS 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. | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| ADS FAMILY TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 1.8 | 7/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JJ FAMILY GRANTOR TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 1.8 | 7/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PC8 CAPITAL GROUP LLC | Organization | INDIRECT OWNERSHIP INTEREST | 40 | 7/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELAZAR FISCHER | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SIMON J STERN | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| AHARON STERN | 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. | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ELAZAR FISCHER | 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. | 12/16/2024 | 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. |
| MICHAEL BARTH | 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. | 1/6/2025 | 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. |
| SARINA T PHATAK | 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. | 1/6/2025 | 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. |
| SIMON J STERN | 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. | 12/18/2024 | 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. |
| BRIAN GREENWALD | 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. | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HILLEL D WEISS | 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. | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NOAH BURTON | 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. | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHIFRA STERN | 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. | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: HILLEL D WEISS no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SARINA T PHATAK 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: SARINA T PHATAK 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: ISRAEL DISCOUNT BANK OF NEW YORK - IDB BANK OF YORK 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: SJ FAMILY TRUST 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: SJ FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HILLEL D WEISS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SARINA T PHATAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SARINA T PHATAK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ISRAEL DISCOUNT BANK OF NEW YORK - IDB BANK OF YORK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SJ FAMILY TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SJ FAMILY TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2025: SIMON J STERN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SIMON J STERN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELLISVILLE OPCO HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ADS FAMILY TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MOSHE BIRNBAUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MOSHE BIRNBAUM appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: BRIAN GREENWALD appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: AHARON STERN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MICHAEL BARTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MICHAEL BARTH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELAZAR FISCHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELAZAR FISCHER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELAZAR FISCHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELAZAR FISCHER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: NOAH BURTON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: PC8 CAPITAL GROUP LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: PC8 CAPITAL GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SHIFRA STERN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: JJ FAMILY GRANTOR TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SJ HEALTHCARE CAPITAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SJ HEALTHCARE CAPITAL LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELLISVILLE PROPCO HOLDCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELLISVILLE PROPCO HOLDCO LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ADS CAPITAL TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ADS CAPITAL TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SUPERIOR BACK OFFICE SOLUTIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: HILLEL D WEISS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SARINA T PHATAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SARINA T PHATAK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ISRAEL DISCOUNT BANK OF NEW YORK - IDB BANK OF YORK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SJ FAMILY TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SJ FAMILY TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 March 2025: BETHESDA LONG TERM CARE INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: FRED G. FALKER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: PHILIP HUTCHISON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: KEVIN KLINGLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: BETHESDA HEALTH GROUP INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: ROGER BYRNE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: ROGER BYRNE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: JOHN DALE MEIER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: WADE HACHMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: GARY MAYES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: PATRICK J. ROONEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: JOSEPH KELLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: JOSEPH J. BRINKER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: JOSEPH J. BRINKER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: JOSEPH J. BRINKER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: COLLEEN WASINGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: SUSAN MOORE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: JAMES ESTHER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: SARINA T PHATAK no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: JAEAYOUNG YOON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 May 2024: JOHN W. ROWE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: MARK REIFSTECK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: KEVIN KLINGLER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: SARINA T PHATAK appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 15 March 2023: KEVIN KLINGLER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: GARY MAYES appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- 1 July 2026: HILLEL D WEISS no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SARINA T PHATAK 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: SARINA T PHATAK 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: ISRAEL DISCOUNT BANK OF NEW YORK - IDB BANK OF YORK 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: SJ FAMILY TRUST 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: SJ FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HILLEL D WEISS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SARINA T PHATAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SARINA T PHATAK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ISRAEL DISCOUNT BANK OF NEW YORK - IDB BANK OF YORK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SJ FAMILY TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SJ FAMILY TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST 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
- 1 April 2025: SIMON J STERN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SIMON J STERN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELLISVILLE OPCO HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ADS FAMILY TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MOSHE BIRNBAUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MOSHE BIRNBAUM appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: BRIAN GREENWALD appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: AHARON STERN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MICHAEL BARTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MICHAEL BARTH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELAZAR FISCHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELAZAR FISCHER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELAZAR FISCHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELAZAR FISCHER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: NOAH BURTON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: PC8 CAPITAL GROUP LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: PC8 CAPITAL GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SHIFRA STERN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: JJ FAMILY GRANTOR TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SJ HEALTHCARE CAPITAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SJ HEALTHCARE CAPITAL LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELLISVILLE PROPCO HOLDCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ELLISVILLE PROPCO HOLDCO LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ADS CAPITAL TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ADS CAPITAL TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: SUPERIOR BACK OFFICE SOLUTIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: HILLEL D WEISS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 26 November 2024 | 26 November 2024 | 37 | 8 |
| 2 | 28 July 2023 | 28 July 2023 | 19 | 4 |
| 3 | 10 January 2020 | 10 January 2020 | 9 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
65 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 28 April 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | 3 June 2026 |
| 28 April 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | 3 June 2026 |
| 4 March 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | 3 June 2026 |
| 4 March 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 4 March 2026 | 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 | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 4 March 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | 3 June 2026 |
| 4 March 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 4 March 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 4 March 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 4 March 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 4 March 2026 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 16 January 2026 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | 20 February 2026 |
| 16 January 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | 3 June 2026 |
| 16 January 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 16 January 2026 | 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 | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 16 January 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | 4 March 2026 |
| 16 January 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | 3 June 2026 |
| 16 January 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 16 January 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 16 January 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 16 January 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 16 January 2026 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Yes | Deficient, Provider has date of correction | 7 April 2026 |
| 26 June 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 15 July 2025 |
| 16 May 2025 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | G | Yes | Past Non-Compliance | 14 May 2025 |
| 21 April 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 21 April 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 | 16 May 2025 |
| 21 April 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 21 April 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 21 April 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | J | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 21 April 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 28 March 2025 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Yes | Deficient, Provider has date of correction | 3 April 2025 |
| 19 March 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | 31 March 2025 |
| 19 March 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 | 31 March 2025 |
| 19 March 2025 | 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. | J | Yes | Deficient, Provider has date of correction | 31 March 2025 |
| 3 March 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 19 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. | D | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 15 January 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | Yes | Deficient, Provider has date of correction | 28 February 2025 |
| 15 January 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | 1 March 2025 |
| 15 January 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | 1 March 2025 |
| 15 January 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 26 November 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. | D | Yes | Deficient, Provider has date of correction | 19 December 2024 |
| 26 November 2024 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Yes | Deficient, Provider has date of correction | 19 December 2024 |
| 26 November 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | E | No | Deficient, Provider has date of correction | 28 February 2025 |
| 26 November 2024 | Health | F 0568 | Resident Rights Deficiencies | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | F | No | Deficient, Provider has date of correction | 19 December 2024 |
| 26 November 2024 | Health | F 0569 | Resident Rights Deficiencies | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | No | Deficient, Provider has date of correction | 19 December 2024 |
| 26 November 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 | Yes | Deficient, Provider has date of correction | 19 December 2024 |
| 26 November 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 26 November 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | No | Deficient, Provider has date of correction | 16 May 2025 |
| 26 November 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. | D | No | Deficient, Provider has date of correction | 19 December 2024 |
| 26 November 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 26 November 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 26 November 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. | G | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 26 November 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | J | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 26 November 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Yes | Deficient, Provider has date of correction | 1 March 2025 |
| 26 November 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 28 July 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 20 August 2023 |
| 10 January 2020 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 7 February 2020 |
| 10 January 2020 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 7 February 2020 |
| 10 January 2020 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | 7 February 2020 |
| 10 January 2020 | 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 | 7 February 2020 |
| 10 January 2020 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 7 February 2020 |
| 10 January 2020 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 7 February 2020 |
| 10 January 2020 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 7 February 2020 |
| 10 January 2020 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 7 February 2020 |
| 10 January 2020 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 7 February 2020 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 16 January 2026 | Fine | $91,055 | 139438 | ||
| 16 January 2026 | Payment Denial | 8 April 2026 | 56 | ||
| 26 November 2024 | Fine | $169,037 | 90677 | ||
| 26 November 2024 | Payment Denial | 14 February 2025 | 91 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | ELLISVILLE OPCO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2003-08-14 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | St. Louis |
| Telephone Number | 6362273431 |
| Special Focus Status | SFF Candidate |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 210 |
| Average Number of Residents per Day | 120.4 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 July 2026: HILLEL D WEISS no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
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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.
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