Skilled nursing facility · CMS certification number 295106

TRELLIS CENTENNIAL

LAS VEGAS, Nevada · Medicare

Certified beds, as filed in Care Compare: 72

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 12 June 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$44,289,647	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$24,697,246	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$19,592,401	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,651,841	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,940,560	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,272	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,948,832	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,948,832 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	26,352	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	15,664	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	572	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	9,343	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	25,579	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	392	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	11	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	420	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	823	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	31.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1428126, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

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

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$27,243,320	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$9,532,908	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,710,412	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,608,662	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,101,750	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$152,974	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,254,724	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,256,224 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,650	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,041	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	33.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	24.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440515, 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 28 October 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$20,206,433	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,794,889	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,411,544	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,235,988	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,175,556	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$187,128	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,362,684	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,362,684 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,994	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,019	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	829	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	24.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398144, 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 7 December 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$11,576,470	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,009,899	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,566,571	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,104,549	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,537,978	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$233,821	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,304,157	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,306,532 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	3,805	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	133	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	28.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1369918, 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 18 October 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,659,309	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,674,579	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,984,730	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,507,780	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,523,050	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$290,957	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,232,093	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,232,093 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,701	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	394	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	24.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335417, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 23 August 2019 to 31 December 2019 — a reporting period of 130 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 15 January 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$1,706,084	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$317,276	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,388,808	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,628,553	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,239,745	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$2,239,745	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,239,745 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	1,999	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	58	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	34.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1278471, read from the public cost report file SNF10FY2019.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
NEVADA OPCO LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 11/05/2021
PROVIDENCE GROUP NH, LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	100%	since 06/30/2023
GOLDEN, SHIVANI	CONTRACTED MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 07/01/2023
APT, FREDERICK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
HANCOCK, MARK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
JERGENSEN, JOSHUA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
MITCHELL, JOHN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
ZOLLINGER, ADAM	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 11/15/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LYCHEE HOLDINGS LLC (enrollment ID O20190402002365).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
NEVADA OPCO LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	11/5/2021	Private equity company: No Real estate investment trust: No Holding company: Yes
JASON H MURRAY	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	41.8	4/15/2024	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.
MARK D HANCOCK	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	41.8	4/15/2024	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.
PACS GROUP, INC.	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	6/30/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
PACS HOLDINGS, LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	6/30/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
PROVIDENCE GROUP NH, LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	6/30/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
SHIVANI N GOLDEN	Individual	CONTRACTED 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.	7/1/2023	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.
FREDERICK G APT	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.	1/1/2024	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.
JOHN T MITCHELL	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.	1/1/2024	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.
JOSHUA O JERGENSEN	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.	1/1/2024	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.
MARK D HANCOCK	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.	1/1/2024	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.
ADAM ZOLLINGER	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.	11/15/2021	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: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JASON H MURRAY 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: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 August 2024: ANTHONY ELIASON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: ADAM ZOLLINGER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOSHUA O JERGENSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: SHIVANI N CHOPRA appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 November 2023: BAY BRIDGE CAPITAL PARTNERS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: OPCO HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: PROVIDENCE GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: PACS GROUP, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: PACS HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: PROVIDENCE GROUP NH, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv

Recent changes on this record

1 July 2026: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JASON H MURRAY 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: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
10 October 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
12 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
28 October 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
1 August 2024: ANTHONY ELIASON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: ADAM ZOLLINGER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOSHUA O JERGENSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: SHIVANI N CHOPRA appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
7 December 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
1 November 2023: BAY BRIDGE CAPITAL PARTNERS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: OPCO HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: PROVIDENCE GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: PACS GROUP, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: PACS HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: PROVIDENCE GROUP NH, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
18 October 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
15 January 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	7 May 2026	7 May 2026	3	6
2	9 May 2025	9 May 2025	7	2
3	7 June 2024	7 June 2024	10	4

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

Deficiencies cited

20 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
7 May 2026	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	23 June 2026
7 May 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	No	Deficient, Provider has date of correction	23 June 2026
7 May 2026	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	23 June 2026
9 May 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	No revisit needed	16 June 2025
9 May 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	No revisit needed	16 June 2025
9 May 2025	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	No revisit needed	16 July 2025
9 May 2025	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	G	No	Deficient, Provider has date of correction	15 July 2025
9 May 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	No revisit needed	16 June 2025
20 November 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	Yes	Deficient, Provider has date of correction	9 December 2024
20 November 2024	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	9 December 2024
7 June 2024	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	18 June 2024
7 June 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	18 June 2024
7 June 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	18 June 2024
7 June 2024	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	18 June 2024
7 June 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	18 June 2024
7 June 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	18 June 2024
7 June 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	18 June 2024
2 August 2023	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	25 August 2023
2 August 2023	Health	F 0624	Resident Rights Deficiencies	Prepare residents for a safe transfer or discharge from the nursing home.	D	Yes	Deficient, Provider has date of correction	25 August 2023
2 August 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	Yes	Deficient, Provider has date of correction	25 August 2023

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
9 May 2025	Fine	$8,278			133884

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
Ownership Type	For profit - Corporation
Legal Business Name	LYCHEE HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid Services	2019-08-23
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Clark
Telephone Number	7029828555
Chain Name	PACS GROUP
Chain ID	690
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	None
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	72
Average Number of Residents per Day	67.5
Overall Rating	5
Health Inspection Rating	4
QM Rating	5
Short-Stay QM Rating	5
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: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.

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