Skilled nursing facility · CMS certification number 305076
COUNTRY VILLAGE CENTER, GENESIS HEALTHCARE
LANCASTER, New Hampshire · Medicare and Medicaid
Certified beds, as filed in Care Compare: 86
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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 January 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,909,751 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,050,827 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,858,924 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,920,811 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$61,887 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,711 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$47,176 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$47,176 (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 | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 31,476 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,309 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 18,977 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,249 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 26,535 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 73 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 75 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 70 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 218 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 253.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446746, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 February 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,681,601 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,303,505 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,378,096 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,007,401 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$629,305 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,392 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$599,913 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$599,913 (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 | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,119 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 555.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 200.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372996, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,956,491 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,296,432 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,660,059 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,977,193 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,317,134 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $790,361 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$526,773 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$526,773 (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 | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,076 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 429.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 180.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342932, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,875,594 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,167,497 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,708,097 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,698,407 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$990,310 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$139,493 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,129,803 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,129,803 (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 | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,362 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 127 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 538.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 191.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314961, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 March 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,294,380 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,950,668 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,343,712 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,336,315 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $7,397 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,800 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $9,197 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $9,197 (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 | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,131 | 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 | 44.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 460.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 214.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281433, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,380,589 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,828,764 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,551,825 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,136,987 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$585,162 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,200 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$583,962 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$583,962 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,094 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 469.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253450, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,287,805 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,613,817 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,673,988 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,967,245 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,293,257 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,293,257 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,293,257 (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 | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,519 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 421.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 158.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1259641, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,171,327 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,437,187 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,734,140 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,983,443 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,249,303 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,249,303 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,249,303 (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 | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,265 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 423.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189583, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 September 2016
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,774,423 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,958,642 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,815,781 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,958,381 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,142,600 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,142,600 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,142,600 (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 | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,647 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 197 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 399.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1155564, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 September 2015
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 March 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,850,697 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,663,214 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,187,483 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,774,202 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$586,719 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$586,719 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$586,719 (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 | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,577 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 195 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 456.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1120467, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 September 2014
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 February 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,868,252 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,929,496 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,938,756 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,603,093 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$664,337 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$664,337 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$664,337 (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 | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,423 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 731.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 217.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1086034, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 30 September 2013
Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 March 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,965,147 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,485,470 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,479,677 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,394,755 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$915,078 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$915,078 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$915,078 (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 | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,348 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 721.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 297.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056197, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 30 September 2012
Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 April 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,631,260 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,278,564 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,352,696 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,325,502 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$972,806 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$972,806 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$972,806 (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 | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,187 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 445.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 221.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027932, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 September 2011
Cost report for 1 April 2011 to 30 September 2011 — a reporting period of 182 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 23 April 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,909,041 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,250,399 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$341,358 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$341,358 (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 | 86 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,996 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 519.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 208.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428096, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 30 September 2010
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 April 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,767,242 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,294,711 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,472,531 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $1,472,531 (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 | 86 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,198 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 182 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 468.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 160.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397682, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 30 September 2009
Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 April 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,019,741 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,199,906 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,819,835 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $1,819,835 (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 | 86 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,658 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 781.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 221.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367665, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 30 September 2008
Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 4 May 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,268,701 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,664,094 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,604,607 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $1,604,607 (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 | 86 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,881 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 680.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 199.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 338533, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 30 September 2007
Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 April 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,106,456 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,563,351 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,543,105 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $1,543,105 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,173 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 77.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 881.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 300.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 307341, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 30 September 2006
Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 January 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,349,409 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,217,579 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,131,830 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $1,131,830 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,008 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 864.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 233.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300087, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 30 September 2005
Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,786,385 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,918,047 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $868,338 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $438 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $868,776 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,724 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 176 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 816.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 157.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 263734, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 30 September 2004
Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 October 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,414,822 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,826,699 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $588,123 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $570 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $588,693 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,512 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 430.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 168.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 234866, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 30 September 2003
Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 October 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,637,349 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,164,023 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $473,326 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $935 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $474,261 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,757 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 433.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 197681, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 30 September 2002
Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 January 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,241,876 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,622,657 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $619,219 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $736 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $619,955 (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 | 86 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,839 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 474.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 179.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 167276, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 30 September 2001
Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,908,501 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,294,682 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $613,819 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $602 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $614,421 (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 | 86 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,072 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 554.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141400, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 30 September 2000
Cost report for 1 October 1999 to 30 September 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 December 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,559,110 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,975,770 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $583,340 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $109,688 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $693,028 (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 | 86 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,022 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 554.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 229.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 53223, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 30 September 1999
Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,140,570 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,875,773 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $264,797 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,396 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $273,193 (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 | 86 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,830 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 113 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 461.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 263.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 53222, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 30 September 1998
Cost report for 1 October 1997 to 30 September 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 27 March 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,060,626 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,573,004 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $487,622 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,623 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $526,245 (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 | 86 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,045 | 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 | 45.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 232.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305554, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 30 September 1997
Cost report for 1 October 1996 to 30 September 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 26 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,704,552 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,326,797 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $377,755 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,464 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $385,219 (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 | 86 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,336 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 93.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 386 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302926, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 30 September 1996
Cost report for 1 January 1996 to 30 September 1996 — a reporting period of 273 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 4 August 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,276,619 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,317,675 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$41,056 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,749 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$38,307 (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 | 86 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,688 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 252.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 155972, 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 |
|---|---|---|---|---|
| 91 COUNTRY VILLAGE ROAD OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| SUNDANCE REHABILITATION HOLDCO INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| FC-GEN OPERATIONS INVESTMENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GEN OPERATIONS I LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GEN OPERATIONS II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GENESIS HEALTHCARE INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GENESIS HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GENESIS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GENESIS OPERATIONS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GHC HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| SUN HEALTHCARE GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| WHITMAN, ARNOLD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 12/31/2011 |
| CARLSON, DENNIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/13/2025 |
| GENESIS HEALTHCARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/13/2025 |
| SCHMIDT, AMBER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/13/2025 |
| BERG, MICHAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2012 |
| BRIDGEFORD, LAURA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2024 |
| MENDELSON, AVI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2024 |
| CARLSON, DENNIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/15/2016 |
| SCHMIDT, AMBER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of 91 COUNTRY VILLAGE ROAD OPERATIONS LLC (enrollment ID O20080305000494).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| 91 COUNTRY VILLAGE ROAD OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| SUNDANCE REHABILITATION HOLDCO INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5.2 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| ARNOLD M WHITMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10.8 | 12/31/2011 | 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. |
| FC-GEN OPERATIONS INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GEN OPERATIONS I LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GEN OPERATIONS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GENESIS HEALTHCARE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GENESIS HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GENESIS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GENESIS OPERATIONS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GHC HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCCF MANAGEMENT GROUP XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10.8 | 12/31/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEVEN E FISHMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7.6 | 12/31/2011 | 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. |
| SUN HEALTHCARE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 65.3 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| WELLTOWER OP, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.4 | 3/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| ZAC PROPERTIES XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7.6 | 12/31/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMBER R SCHMIDT | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/13/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DENNIS L CARLSON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/13/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GENESIS HEALTHCARE LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| AVI PINCHAS MENDELSON | Individual | CORPORATE OFFICER | 100 | 6/1/2024 | 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. |
| LAURA BRIDGEFORD | Individual | CORPORATE OFFICER | 100 | 6/1/2024 | 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. |
| MICHAEL T BERG | Individual | CORPORATE OFFICER | 100 | 12/1/2012 | 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. |
| AMBER R SCHMIDT | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2024 | 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. |
| DENNIS L CARLSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/15/2016 | 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: LAURA BRIDGEFORD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAURA BRIDGEFORD appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2025: AMBER R SCHMIDT no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JAMIE L ZURN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MICHAEL T BERG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: GENESIS NH HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: GENESIS HEALTHCARE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DIANE LOUISE MORRIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DENNIS L CARLSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: 91 COUNTRY VILLAGE ROAD OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: GENESIS HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DENNIS L CARLSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DENNIS L CARLSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: AMBER R SCHMIDT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: AMBER R SCHMIDT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 August 2024: WELLTOWER INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: WENDY A LABATE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: STEPHEN S YOUNG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: MICHAEL S SHERMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: KEN CULLEROT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: AVI PINCHAS MENDELSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: WELLTOWER OP LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: DENNIS L CARLSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: AMBER R SCHMIDT appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: LAURA LYNN BRIDGEFORD appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
Recent changes on this record
- 1 July 2026: LAURA BRIDGEFORD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAURA BRIDGEFORD appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 19 January 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 May 2025: AMBER R SCHMIDT no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JAMIE L ZURN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MICHAEL T BERG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: GENESIS NH HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: GENESIS HEALTHCARE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DIANE LOUISE MORRIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DENNIS L CARLSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: 91 COUNTRY VILLAGE ROAD OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: GENESIS HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DENNIS L CARLSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: DENNIS L CARLSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: AMBER R SCHMIDT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: AMBER R SCHMIDT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 August 2024: WELLTOWER INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: WENDY A LABATE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: STEPHEN S YOUNG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: MICHAEL S SHERMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: KEN CULLEROT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: AVI PINCHAS MENDELSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: WELLTOWER OP LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: DENNIS L CARLSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: AMBER R SCHMIDT appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: LAURA LYNN BRIDGEFORD appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 5 February 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 22 February 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 28 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 19 March 2021: 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 2018, on form CMS-2540-10. SNF10FY2018.zip
- 31 March 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 9 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 18 April 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 14 March 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 18 February 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 3 March 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 23 April 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 23 April 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 11 September 2025 | 11 September 2025 | 4 | 2 |
| 2 | 6 September 2024 | 6 September 2024 | 3 | 0 |
| 3 | 20 September 2023 | 20 September 2023 | 3 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
10 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 11 September 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | 19 October 2025 |
| 11 September 2025 | 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 | 19 October 2025 |
| 11 September 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 19 October 2025 |
| 11 September 2025 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | No | Deficient, Provider has date of correction | 19 October 2025 |
| 6 September 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | B | No | Deficient, Provider has date of correction | 17 October 2024 |
| 6 September 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 15 October 2024 |
| 6 September 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 9 September 2024 |
| 20 September 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 16 October 2023 |
| 20 September 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 3 October 2023 |
| 20 September 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | 10 October 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | 91 COUNTRY VILLAGE ROAD OPERATIONS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1996-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Coos |
| Telephone Number | 6037884735 |
| Chain Name | GENESIS HEALTHCARE |
| Chain ID | 237 |
| 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 | 86 |
| Average Number of Residents per Day | 69.1 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 1 |
| 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: LAURA BRIDGEFORD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for COUNTRY VILLAGE CENTER, GENESIS HEALTHCARE
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 New Hampshire at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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