Skilled nursing facility · CMS certification number 285143
Adept Nursing & Rehab of Waverly
Waverly, Nebraska · Medicare and Medicaid
Certified beds, as filed in Care Compare: 54
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 17 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,811,175 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $86,061 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,725,114 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,801,548 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,076,434 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $72,549 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,003,885 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,003,885 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 19,764 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,476 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,680 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,182 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,338 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 27 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 89 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 48 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 164 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 153.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1431076, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 1 August 2023
Cost report for 1 January 2023 to 1 August 2023 — a reporting period of 212 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 6 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,719,436 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $141,142 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,578,294 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,113,848 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $464,446 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,579 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $493,025 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $493,025 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,908 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 81.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 197.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1428097, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,430,453 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $286,851 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,143,602 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,690,241 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$546,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $531,412 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$15,227 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$15,227 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,832 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 221.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 150.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397810, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 November 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,335,952 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $221,734 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,114,218 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,760,314 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$646,096 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $943,051 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $296,955 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $296,955 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,649 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 349.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 186.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367919, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,593,743 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $319,337 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,274,406 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,053,320 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$778,914 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $412,081 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$366,833 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$366,833 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,542 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 319.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 189.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342634, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 17 September 2019 to 31 December 2019 — a reporting period of 105 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 17 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,318,830 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $65,870 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,252,960 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,114,254 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $138,706 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $138,708 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $138,708 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,925 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 25 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 337.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 197 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1259831, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,470,184 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,232,328 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,237,856 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,731,722 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$493,866 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,048 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$491,818 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$491,820 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,097 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 345.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 185.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1248983, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,520,010 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,132,740 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,387,270 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,814,074 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$426,804 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,472 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$425,332 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$425,330 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,195 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 259.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1215412, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,441,228 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,146,855 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,294,373 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,600,752 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$306,379 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,483 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$301,896 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$301,894 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,061 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 304.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1187912, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,486,740 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $889,661 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,597,079 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,619,017 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$21,938 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,966 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$18,972 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$18,974 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,242 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 591.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 181.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1176125, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 January 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,319,008 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $752,919 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,566,089 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,663,483 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$97,394 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,139 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$92,255 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$92,255 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,606 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 402 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117736, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on 5 February 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,473,778 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $682,079 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,791,699 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,889,263 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$97,564 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,496 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$94,068 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$94,068 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,105 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 253.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085499, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 January 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,473,095 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $600,771 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,872,324 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,897,464 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$25,140 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,037 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$23,103 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$23,103 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,475 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 383.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1054853, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 March 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,321,854 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $377,157 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,944,697 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,877,563 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $67,134 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,262 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $68,396 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-10 worksheet G300000 line 3000 column 100 |
Net income: $68,395 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,266 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 147 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 260.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1025843, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 June 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,606,226 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,512,399 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $93,827 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,850 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $100,676 (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 | 54 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,603 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 486.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 159 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430145, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 July 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,324,960 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,335,873 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$10,913 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,335 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$2,579 (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 | 54 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,239 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 124 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 451.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 139.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 381836, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 29 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,235,601 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,130,314 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $105,287 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,757 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $119,044 (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 | 54 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,735 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 164 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 458.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 102.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353212, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 June 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,492,803 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,505,065 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,012,262 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,977 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$995,289 (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 | 54 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,080 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 174 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 390.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 103.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 312717, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 January 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,546,867 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,018,383 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$471,516 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,421 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$458,096 (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 | 54 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,549 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,517.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301434, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 January 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,066,446 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,682,053 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $384,393 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,052 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $394,445 (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 | 54 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,989 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 129 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 461.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 139.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270723, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 March 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,820,644 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,474,115 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $346,529 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,233 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $351,762 (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 | 53 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,263 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 902.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 231.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 246519, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,585,616 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,567,505 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $18,111 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,318 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $24,429 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,233 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 701.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 198.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230104, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,398,581 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,308,202 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $90,379 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,488 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $105,867 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,399 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 267.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 146.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175771, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,976,489 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,876,029 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $100,460 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,886 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $127,346 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,629 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 67 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 537.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 233.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 143845, read from the public cost report file SNFFY2001.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 1 August 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,796,762 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,994,235 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$197,473 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,154 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$172,319 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,575 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 428.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 26293, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 July 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,937,900 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,957,399 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$19,499 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,361 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $4,862 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,012 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 30 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 600.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 26291, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,998,976 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,691,782 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $307,194 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,107 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $317,301 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,648 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 29 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, all patients, in days | 608.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 26289, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,983,680 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,582,258 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $401,422 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,395 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $400 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $410,417 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,192 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 958.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 491.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 18485, read from the public cost report file SNFFY1996.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 |
|---|---|---|---|---|
| DOURO VALLEY INVESTMENT, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/02/2023 |
| NE 11 HOLDINGS OPCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/02/2023 |
| BRASS NE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/02/2023 |
| BSD BEIS HEALTH TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/02/2023 |
| COPPER NE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/02/2023 |
| GOLD NE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/02/2023 |
| NE SNF HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/02/2023 |
| SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/01/2023 |
| SILVER NE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/02/2023 |
| TULIP INVESTMENTS NE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/02/2023 |
| SILBERSTEIN, ARI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/02/2023 |
| PIHLGREN, LINDSEY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 08/02/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MULBERRY AT WAVERLY LLC (enrollment ID O20230928000040).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DOURO VALLEY INVESTMENT, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33 | 8/2/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| NE 11 HOLDINGS OPCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/2/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BRASS NE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16.5 | 8/2/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| BSD BEIS HEALTH TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16.5 | 8/2/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| COPPER NE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16 | 8/2/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID WEISZ | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33 | 8/2/2023 | 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. |
| GOLD NE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13 | 8/2/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| NE SNF HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33 | 8/2/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33 | 8/1/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SILVER NE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13 | 8/2/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| TULIP INVESTMENTS NE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33 | 8/2/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ARI SILBERSTEIN | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/2/2023 | 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. |
| LINDSEY PIHLGREN | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/2/2023 | 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: SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC 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: SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 5 January 2024: AARON NOAH KAMINER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: AARON NOAH KAMINER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: BCP WAVERLY, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: AZRIA OPCO HOLDINGS NEKSIA LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: AZRIA VENTURES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: STEVEN B HORNUNG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: STEVEN B HORNUNG no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: LINDSEY PIHLGRAM appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: GOLD NE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: NE SNF HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: ARI SILBERSTEIN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: DOURO VALLEY INVESTMENT, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: BSD BEIS HEALTH TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: TULIP INVESTMENTS NE LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: BRASS NE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: SILVER NE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: DAVID WEISZ appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: NE 11 HOLDINGS OPCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: COPPER NE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: SF 4140 OLDE WASHINGTON BLVD REAL PROPERTY LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
Recent changes on this record
- 1 July 2026: SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC 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: SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 17 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 6 June 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 23 October 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 19 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 5 January 2024: AARON NOAH KAMINER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: AARON NOAH KAMINER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: BCP WAVERLY, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: AZRIA OPCO HOLDINGS NEKSIA LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: AZRIA VENTURES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: STEVEN B HORNUNG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: STEVEN B HORNUNG no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: LINDSEY PIHLGRAM appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: GOLD NE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: NE SNF HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: ARI SILBERSTEIN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: DOURO VALLEY INVESTMENT, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: BSD BEIS HEALTH TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: TULIP INVESTMENTS NE LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: BRASS NE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: SILVER NE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: DAVID WEISZ appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: NE 11 HOLDINGS OPCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: COPPER NE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: SF 4140 OLDE WASHINGTON BLVD REAL PROPERTY LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 13 November 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 17 February 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 17 July 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 26 February 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 16 January 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 11 December 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 2 May 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 20 September 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 21 January 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 5 February 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 29 January 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 14 March 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 7 June 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 15 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 25 February 2026 | 25 February 2026 | 4 | 19 |
| 2 | 5 December 2024 | 5 December 2024 | 16 | 17 |
| 3 | 10 January 2024 | 10 January 2024 | 12 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
32 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 25 February 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | 11 April 2026 |
| 25 February 2026 | 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 | 11 April 2026 |
| 25 February 2026 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 11 April 2026 |
| 25 February 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 11 April 2026 |
| 24 June 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 24 July 2025 |
| 8 April 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | 12 May 2025 |
| 8 April 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Yes | Deficient, Provider has date of correction | 12 May 2025 |
| 5 December 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | 19 January 2025 |
| 5 December 2024 | 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 | 19 January 2025 |
| 5 December 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | 19 January 2025 |
| 5 December 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. | D | Yes | Deficient, Provider has date of correction | 19 January 2025 |
| 5 December 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | F | No | Deficient, Provider has date of correction | 19 January 2025 |
| 5 December 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | Yes | Deficient, Provider has date of correction | 19 January 2025 |
| 5 December 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | Yes | Deficient, Provider has date of correction | 19 January 2025 |
| 5 December 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | 19 January 2025 |
| 5 December 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 19 January 2025 |
| 28 August 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | 23 September 2024 |
| 28 August 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | 23 September 2024 |
| 8 August 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 29 August 2024 |
| 8 August 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 29 August 2024 |
| 17 June 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 | 17 June 2024 |
| 12 February 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 | 11 March 2024 |
| 12 February 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. | D | Yes | Deficient, Provider has date of correction | 11 March 2024 |
| 10 January 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 23 February 2024 |
| 10 January 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | C | No | Deficient, Provider has date of correction | 23 February 2024 |
| 10 January 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | 23 February 2024 |
| 10 January 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 23 February 2024 |
| 10 January 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 | No | Deficient, Provider has date of correction | 23 February 2024 |
| 10 January 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | 23 February 2024 |
| 10 January 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 23 February 2024 |
| 10 January 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 23 February 2024 |
| 12 December 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | 12 January 2024 |
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 |
|---|---|---|---|---|---|
| 25 February 2026 | Payment Denial | 25 May 2026 | 16 | ||
| 5 December 2024 | Payment Denial | 19 February 2025 | 26 | ||
| 17 June 2024 | Fine | $9,805 | 85940 | ||
| 12 December 2023 | Fine | $15,837 | 85926 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | MULBERRY AT WAVERLY LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1994-06-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Lancaster |
| Telephone Number | 4027862626 |
| Chain Name | AVID HEALTHCARE GROUP |
| Chain ID | 700 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 54 |
| Average Number of Residents per Day | 43.5 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on Adept Nursing & Rehab of Waverly: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Adept Nursing & Rehab of Waverly
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 Nebraska 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.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 285143.