Skilled nursing facility · CMS certification number 315252
Complete Care at Bayshore LLC
HOLMDEL, New Jersey · Medicare and Medicaid
Certified beds, as filed in Care Compare: 232
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 3 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,360,355 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,699,356 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,660,999 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,657,408 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,591 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,601 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $60,192 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $60,192 (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 | 232 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 84,912 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 7,807 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 34,590 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,093 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 51,490 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 194 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 172 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 210 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 576 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 201.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1425922, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 16 March 2023 to 31 December 2023 — a reporting period of 290 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 29 September 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,533,776 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,503,986 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,029,790 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,196,634 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,166,844 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $113,260 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,053,584 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,053,584 (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 | 232 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,293 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 538 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,362.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440294, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,236,602 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,413,742 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,822,860 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,575,035 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,752,175 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $789,551 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$7,962,624 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$7,962,624 (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 | 232 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,089 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 537 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 525.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397817, 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 8 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,320,509 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,348,638 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,971,871 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,861,919 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,890,048 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,016,245 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $126,197 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $126,197 (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 | 232 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,362 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 732 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 423.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361335, 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 1 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,791,744 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,895,657 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,896,087 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,529,216 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,633,129 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,951,568 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,681,561 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,681,561 (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 | 232 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 59,294 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 726 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 479.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341461, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 October 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $36,593,603 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,262,705 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $25,330,898 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,060,457 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,729,559 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $511,628 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,217,931 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,217,931 (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 | 232 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 73,661 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,015 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 455.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303348, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 October 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,058,439 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,191,225 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,867,214 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,373,764 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,506,550 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $426,566 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,079,984 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,079,984 (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 | 232 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 73,898 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 993 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 523.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1270431, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 December 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,358,693 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,664,198 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,694,495 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,408,453 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,713,958 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $416,349 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,297,609 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,297,609 (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 | 231 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 74,385 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,039 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 390.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1247796, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,767,966 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,992,637 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,775,329 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,263,959 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,488,630 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $378,247 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,110,383 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,110,383 (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 | 231 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 73,843 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,043 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 382.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217101, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 May 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,266,843 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,906,048 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $25,360,795 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,963,179 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $397,616 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $516,883 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $914,499 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $914,499 (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 | 231 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 73,815 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,020 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 395.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157014, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,496,996 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,715,156 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,781,840 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,488,140 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,293,700 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $805,114 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,098,814 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,098,814 (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 | 231 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 75,567 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 926 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,064.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122252, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 December 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,410,983 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,159,716 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,251,267 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,678,345 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,427,078 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,657,393 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $230,315 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $230,315 (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 | 241 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 73,695 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 811 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 983.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1113879, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,386,937 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,074,540 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $25,312,397 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,772,386 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$459,989 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,441,654 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $981,665 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $981,665 (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 | 231 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 74,543 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 762 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 380.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058486, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 April 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,225,628 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,353,878 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,871,750 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,724,652 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $147,098 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $88,965 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $236,063 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $236,063 (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 | 231 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 72,657 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 892 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027430, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 August 2010
Cost report for 1 January 2010 to 31 August 2010 — a reporting period of 242 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 June 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,082,970 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,957,698 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $125,272 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $204,767 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $330,039 (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 | 241 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,032 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 479 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 254.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430651, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 May 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $21,998,494 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,771,844 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $226,650 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,538,427 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,765,077 (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 | 241 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 73,458 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 563 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.01 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 130.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 399114, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 March 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,329,194 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,069,064 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,739,870 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $259,994 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,479,876 (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 | 241 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 74,341 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 609 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 122.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 366428, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 May 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $21,721,126 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,330,567 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$609,441 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $752,832 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $143,391 (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 | 241 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 75,430 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 656 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 114.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 339788, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 June 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $20,951,762 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,364,809 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$413,047 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $778,322 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $365,275 (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 | 241 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 76,365 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 594 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 128.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 287101, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 June 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $19,725,640 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,096,335 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$370,695 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $408,113 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $37,418 (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 | 241 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 79,271 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 514 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 154.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 255558, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 20 January 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,630,621 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,670,166 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$39,545 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $251,076 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $211,531 (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 | 241 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 78,228 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 393 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 199.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 240253, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,898,753 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,049,125 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$150,372 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $311,542 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $161,170 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 77,519 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 401 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 193.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 229414, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,774,540 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,013,525 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $761,015 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $363,405 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,124,420 (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 | 253 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 82,233 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 250 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 328.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 170074, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,681,726 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,922,862 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $758,864 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $388,919 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,147,783 (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 | 253 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 85,725 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 78.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 446.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 143386, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,212,285 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,369,156 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$156,871 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $479,271 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $322,400 (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 | 253 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 85,980 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 377 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 118.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 228.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116966, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,698,435 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,594,351 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $104,084 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $412,149 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $516,233 (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 | 242 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 81,456 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 38 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 111.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 2,143.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 60827, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 8 November 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,482,499 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,867,274 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $615,225 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $331,356 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $220,592 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $725,989 (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 | 242 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 79,940 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 38 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 106.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 2,103.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 33821, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 March 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,133,454 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,512,414 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $7,621,040 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $351,718 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $7,972,758 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 201 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,282 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 38 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 176.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 1,875.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 33819, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 May 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,706,142 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,212,289 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $493,853 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $421,136 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $914,989 (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 | 242 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 83,229 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 158 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 1,733.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 33817, 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 |
|---|---|---|---|---|
| PC HMH OPCO HOLDNGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 03/16/2023 |
| PC HMH HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 03/16/2023 |
| SMS 2021 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 03/16/2023 |
| BAYSHORE PROPCO HOLDCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/16/2023 |
| BAYSHORE PROPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/16/2023 |
| EEF CAPITAL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/16/2023 |
| GREWAL, BALJINDER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2023 |
| LEVOVITZ, YITZCHOK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2023 |
| MATZLIAH, MENACHEM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2023 |
| MERCADO, WANDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2023 |
| NASRA, MAGDY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2023 |
| OPOKU, CONSTANCE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2023 |
| PC HMH HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/16/2023 |
| PC HMH PROPCO INTERMEDIATE 9 LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/16/2023 |
| PC HMH TOPCO PROPCO HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/16/2023 |
| PEACE CAPITAL HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/16/2023 |
| SCHLAFF, BENNY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2023 |
| SCHLAFF, NACHUM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2023 |
| SMS 2021 TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/16/2023 |
| STEIN, SHALOM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/16/2023 |
| STEIN, SHALOM | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 03/16/2023 |
| STEIN, SHALOM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 03/16/2023 |
| GREWAL, BALJINDER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/16/2023 |
| LEVOVITZ, YITZCHOK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/16/2023 |
| MATZLIAH, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/16/2023 |
| MERCADO, WANDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/16/2023 |
| NASRA, MAGDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/16/2023 |
| STEIN, SHALOM | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of COMPLETE CARE AT BAYSHORE LLC (enrollment ID O20230412002610).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PC HMH OPCO HOLDNGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 3/16/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PC HMH HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 3/16/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PEACE CAPITAL HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 3/16/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 95.1 | 3/16/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| BALJINDER GREWAL | 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. | 3/16/2023 | 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. |
| BAYSHORE PROPCO HOLDCO LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/16/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BAYSHORE PROPCO 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. | 3/16/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BENNY SCHLAFF | 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. | 3/16/2023 | 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. |
| CONSTANCE OPOKU | 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. | 3/16/2023 | 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. |
| EEF CAPITAL LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/16/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| MAGDY A NASRA | 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. | 3/16/2023 | 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. |
| MENACHEM MATZLIAH | 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. | 3/16/2023 | 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. |
| NACHUM SCHLAFF | 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. | 3/16/2023 | 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. |
| PC HMH HOLDINGS 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. | 3/16/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PC HMH PROPCO INTERMEDIATE 9 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. | 3/16/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PC HMH TOPCO PROPCO HOLDINGS 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. | 3/16/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PEACE CAPITAL HOLDINGS 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. | 3/16/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SMS 2021 TRUST | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/16/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| WANDA MERCADO | 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. | 3/16/2023 | 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. |
| YITZCHOK MEIR LEVOVITZ | 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. | 3/16/2023 | 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. |
| SHALOM STEIN | 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. | 3/16/2023 | 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. |
| SHALOM STEIN | Individual | INDIRECT OWNERSHIP INTEREST | 4.9 | 3/16/2023 | 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. |
| SHALOM STEIN | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/16/2023 | 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. |
| BALJINDER GREWAL | 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. | 3/16/2023 | 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. |
| MAGDY A NASRA | 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. | 3/16/2023 | 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. |
| MENACHEM MATZLIAH | 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. | 3/16/2023 | 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. |
| WANDA MERCADO | 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. | 3/16/2023 | 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. |
| YITZCHOK MEIR LEVOVITZ | 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. | 3/16/2023 | 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. |
| SHALOM STEIN | Individual | TRUSTEE OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/16/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: WANDA MERCADO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WANDA MERCADO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC (DE) no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC (DE) 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: NACHUM SCHLAFF no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CONSTANCE OPOKU no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WANDA MERCADO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WANDA MERCADO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CONSTANCE OPOKU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC 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: NACHUM SCHLAFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 September 2025: SHALOM STEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BENZION DAVIDOWITZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SHALOM STEIN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SHALOM STEIN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SHALOM STEIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MENACHEM MATZLIAH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MENACHEM MATZLIAH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BENNY SCHLAFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: PC HMH PROPCO HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: YITZCHOK M LEVOVITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: YITZCHOK M LEVOVITZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: EEF CAPITAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: PC HMH PROPCO INTERMEDIATE 9 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BAYSHORE PROPCO HOLDCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SMS 2021 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BAYSHORE PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: PC HMH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MAGDY A NASRA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MAGDY A NASRA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BALJINDER GREWAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BALJINDER GREWAL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: WANDA MERCADO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: WANDA MERCADO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: PEACE CAPITAL HOLDINGS LLC (DE) appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: NACHUM SCHLAFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CONSTANCE OPOKU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 February 2024: JOSEPH WEINGARTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 1 February 2024: BENZION DAVIDOWITZ appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 15 September 2023: MARK S STAUDER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: MARK S STAUDER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: PHYLLIS A DEYO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ROBERT C GARRETT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: DENNIS R ROBINSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: HACKENSACK MERIDIAN HEALTH INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: WILLIAM HICKEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: WILLIAM HICKEY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JOHN J WILCHA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JOHN J WILCHA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ROBERT O'HARA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ROBERT O'HARA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: KATHERINE A YORK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: QUALITY CARE MANAGEMENT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JAMES RENNA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JAMES RENNA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: RICHARD HAND no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: THOMAS J KONONOWITZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: THOMAS J KONONOWITZ no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: DAVID M EPSTEIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: DAVID M EPSTEIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: WILLIAM CRANE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: WILLIAM CRANE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: MARIS A LOWN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: WILLIAM J MURRAY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: WILLIAM J MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JOHN K LLOYD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: KEN ABER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: GEORGE T CROONQUIST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: GEORGE T CROONQUIST no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: CHRISTOPHER D MAHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: FRANK L FEKETE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JAMES M BOLLERMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JAMES M BOLLERMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ULISES E DIAZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ULISES E DIAZ no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ALFRED J SCHIAVETTI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ALFRED J SCHIAVETTI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: GLORIA D MARTINI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: GLORIA D MARTINI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JAMES KIRKOS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JAMES KIRKOS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: SHALOM STEIN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: SHALOM STEIN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JOSEPH WEINGARTEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: SMS 2021 TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: PC HMH HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: PC HMH OPCO HOLDNGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: PEACE CAPITAL HOLDINGS LLC (DE) appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
Recent changes on this record
- 1 July 2026: WANDA MERCADO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WANDA MERCADO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC (DE) no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC (DE) 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: NACHUM SCHLAFF no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CONSTANCE OPOKU no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WANDA MERCADO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WANDA MERCADO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CONSTANCE OPOKU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PEACE CAPITAL HOLDINGS LLC 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: NACHUM SCHLAFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 September 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 September 2025: SHALOM STEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BENZION DAVIDOWITZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SHALOM STEIN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SHALOM STEIN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SHALOM STEIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MENACHEM MATZLIAH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MENACHEM MATZLIAH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BENNY SCHLAFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: PC HMH PROPCO HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: YITZCHOK M LEVOVITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: YITZCHOK M LEVOVITZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: EEF CAPITAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: PC HMH PROPCO INTERMEDIATE 9 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BAYSHORE PROPCO HOLDCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SMS 2021 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BAYSHORE PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: PC HMH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MAGDY A NASRA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MAGDY A NASRA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BALJINDER GREWAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BALJINDER GREWAL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: WANDA MERCADO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: WANDA MERCADO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: PEACE CAPITAL HOLDINGS LLC (DE) appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: NACHUM SCHLAFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CONSTANCE OPOKU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 3 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 30 October 2024 | 30 October 2024 | 7 | 2 |
| 2 | 19 October 2023 | 19 October 2023 | 12 | 3 |
| 3 | 3 August 2022 | 3 August 2022 | 19 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
38 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 16 April 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | 16 May 2026 |
| 29 December 2025 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Yes | Deficient, Provider has date of correction | 13 February 2026 |
| 30 October 2024 | 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 | 11 November 2024 |
| 30 October 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 11 November 2024 |
| 30 October 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 11 November 2024 |
| 30 October 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 | 11 November 2024 |
| 30 October 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 11 November 2024 |
| 30 October 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 | 11 November 2024 |
| 30 October 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 12 November 2024 |
| 4 April 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | 1 May 2024 |
| 14 February 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 12 March 2024 |
| 19 October 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 17 November 2023 |
| 19 October 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 17 November 2023 |
| 19 October 2023 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | 3 November 2023 |
| 19 October 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 17 November 2023 |
| 19 October 2023 | 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 | 17 November 2023 |
| 19 October 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | 17 November 2023 |
| 19 October 2023 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 17 November 2023 |
| 19 October 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 | 17 November 2023 |
| 19 October 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Yes | Deficient, Provider has date of correction | 17 November 2023 |
| 19 October 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 17 November 2023 |
| 3 August 2022 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | C | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | 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 | 13 September 2022 |
| 3 August 2022 | 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. | D | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | F | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0680 | Quality of Life and Care Deficiencies | Ensure the activities program is directed by a qualified professional. | F | No | Deficient, Provider has date of correction | 21 September 2022 |
| 3 August 2022 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 13 September 2022 |
| 3 August 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 3 October 2022 |
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 - Corporation |
| Legal Business Name | COMPLETE CARE AT BAYSHORE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1988-01-11 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Monmouth |
| Telephone Number | 7327399000 |
| Chain Name | COMPLETE CARE |
| Chain ID | 157 |
| 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 | 232 |
| Average Number of Residents per Day | 148.6 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay 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.
Get an email when this record changes
One email a day naming what moved on Complete Care at Bayshore LLC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: WANDA MERCADO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Complete Care at Bayshore LLC
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 Jersey at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 315252.