Skilled nursing facility · CMS certification number 335220

TUPPER LAKE CENTER FOR NURSING AND REHABILITATION

TUPPER LAKE, New York · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

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 February 2024 to 31 December 2024 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$6,016,636	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$152,540	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,169,176	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,410,770	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$241,594	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$451,129	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$209,535	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $209,535 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	20,100	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,401	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	14,301	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,740	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	19,442	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	42	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	15	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	12	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	69	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	953.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	281.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437428, read from the public cost report file SNF10FY2024.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 2 June 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,543,490	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,986,683	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$443,193	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$118,067	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$325,126 (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.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,944	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	66	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	174.29	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	373.44	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	347.64	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 310932, 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 1 May 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,154,619	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,054,638	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$900,019	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$296,098	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$603,921 (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.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,118	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	28	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	73.71	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	4,504.75	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	789.93	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 276267, 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 15 November 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,432,614	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,220,029	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$787,415	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$140,293	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$647,122 (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.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,513	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	23	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	89.58	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	5,363.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,109.26	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 236849, 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 15 October 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$3,786,860	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,066,106	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$279,246	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$128,435	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$150,811 (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.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,255	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	28	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	78.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	5,758	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	973.39	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 197274, 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 24 September 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$3,531,115	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,698,992	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$167,877	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$185,936	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $18,059 (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.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,181	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	45	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	5,552.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	626.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 160632, 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 8 July 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$3,350,592	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,522,667	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$172,075	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$132,031	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$40,044 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,541	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	47	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	81.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,069.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	564.7	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 153107, 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 21 February 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$3,068,964	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,522,086	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$453,122	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$174,974	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$278,148 (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.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,606	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	45	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	95.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	736.23	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	591.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 36552, 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 17 May 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$3,319,544	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,575,858	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$256,314	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$141,966	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$114,348 (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.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,470	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	41	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	92.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,021.57	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	670	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 36550, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 July 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$3,458,525	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,566,739	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$108,214	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$135,432	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $27,218 (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.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,154	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	44	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	104.3	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,129.4	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	639.86	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 36548, 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 9 February 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$3,365,914	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,469,023	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$103,109	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$113,827	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $10,718 (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.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,702	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	35	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	174.78	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,114.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	820.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 36546, 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 6 April 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$3,220,758	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,351,636	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$130,878	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$135,315	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $4,437 (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.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,016	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	44	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	154.91	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	799.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	659.45	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 36545, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
GEWIRTZ, JONATHAN	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	33%	since 02/01/2024
KLEIN, YEHUDIS	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	5%	since 01/01/2025
PEARLSTEIN, BLIMIE	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	5%	since 01/01/2025
SALAMON, MENAJEM	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	48%	since 01/01/2025
SALAMON, MORDEJAI	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	10%	since 01/01/2025
BURG & WEINGARTEN, CPA, PC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/01/2024
CICHETTI, NEIL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/21/2025
DESTINVILLE, NICHOLAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/21/2025
SALAMON, MENAJEM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
SALAMON, MORDEJAI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/26/2025
ZELLA HEALTHCARE CONSULTING LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/01/2024
SALAMON, MENAJEM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/01/2024
SALAMON, MENAJEM	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2025
CICHETTI, NEIL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2024
DESTINVILLE, NICHOLAS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/30/2025
SALAMON, MENAJEM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of TUPPER LAKE CENTER LLC (enrollment ID O20240329001027).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
BLIMIE PEARLSTEIN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	5	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JONATHAN GEWIRTZ	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	33	2/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MENAJEM SALAMON	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	47.5	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MORDEJAI SALAMON	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	9.5	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
YEHUDIS KLEIN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	5	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BURG & WEINGARTEN, CPA, PC	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.	2/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
MENAJEM SALAMON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MORDEJAI SALAMON	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.	2/26/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEIL J CICHETTI	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.	11/21/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICHOLAS DESTINVILLE	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.	11/21/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ZELLA HEALTHCARE CONSULTING 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.	2/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
MENAJEM SALAMON	Individual	CORPORATE OFFICER	47.5	2/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MENAJEM SALAMON	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.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MENAJEM SALAMON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEIL J CICHETTI	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.	2/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICHOLAS DESTINVILLE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/30/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: NEIL J CICHETTI 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: NEIL J CICHETTI 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: JONATHAN GEWIRTZ no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEIL J CICHETTI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEIL J CICHETTI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JONATHAN GEWIRTZ appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 January 2026: CHRISTOPHER ESOLA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHRISTOPHER ESOLA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MENAJEM SALAMON no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JACOB WEINGARTEN CPA LC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ZELLA HEALTHCARE CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MENAJEM SALAMON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NICHOLAS DESTINVILLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NICHOLAS DESTINVILLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 August 2025: CHRISTOPHER ESOLA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MENAJEM SALAMON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NEIL J CICHETTI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: YEHUDIS KLEIN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CHRISTOPHER ESOLA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CHRISTOPHER ESOLA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MENAJEM SALAMON appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MENAJEM SALAMON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MENAJEM SALAMON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BLIMIE PEARLSTEIN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MORDEJAI SALAMON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MORDEJAI SALAMON appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NEIL J CICHETTI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NEIL J CICHETTI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 September 2024: PETER G BEATTY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: JOANNE A BRUCE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: REBECCA LEAHY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: ROBERT J LABA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: ROBERT J LABA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: GERALD GOLDMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: F RAYMOND AGNEW no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: CHERYL MAID no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: JEANNIE CROSS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: DOUGLAS L HOFFMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: CHARLES CARROLL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: CHRISTOPHER ESOLA appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: MENAJEM SALAMON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: MENAJEM SALAMON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: MENAJEM SALAMON appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: NEIL J CICHETTI appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: JONATHAN GEWIRTZ appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv

Recent changes on this record

1 July 2026: NEIL J CICHETTI 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: NEIL J CICHETTI 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: JONATHAN GEWIRTZ no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEIL J CICHETTI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEIL J CICHETTI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JONATHAN GEWIRTZ appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 January 2026: CHRISTOPHER ESOLA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHRISTOPHER ESOLA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MENAJEM SALAMON no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JACOB WEINGARTEN CPA LC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ZELLA HEALTHCARE CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MENAJEM SALAMON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NICHOLAS DESTINVILLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NICHOLAS DESTINVILLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 August 2025: CHRISTOPHER ESOLA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MENAJEM SALAMON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NEIL J CICHETTI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: YEHUDIS KLEIN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CHRISTOPHER ESOLA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CHRISTOPHER ESOLA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MENAJEM SALAMON appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MENAJEM SALAMON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MENAJEM SALAMON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BLIMIE PEARLSTEIN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MORDEJAI SALAMON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MORDEJAI SALAMON appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NEIL J CICHETTI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NEIL J CICHETTI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 September 2024: PETER G BEATTY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: JOANNE A BRUCE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: REBECCA LEAHY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: ROBERT J LABA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: ROBERT J LABA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: GERALD GOLDMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: F RAYMOND AGNEW no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: CHERYL MAID no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: JEANNIE CROSS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: DOUGLAS L HOFFMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: CHARLES CARROLL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	30 January 2024	30 January 2024	5	3
2	17 June 2022	17 June 2022	1	4
3	21 November 2019	21 November 2019	17	4

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

Deficiencies cited

23 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
30 January 2024	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	25 March 2024
30 January 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	26 March 2024
30 January 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	E	No	Deficient, Provider has date of correction	25 March 2024
30 January 2024	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	26 March 2024
30 January 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	18 March 2024
25 January 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	18 March 2024
25 January 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	Yes	Deficient, Provider has date of correction	18 March 2024
25 January 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	Yes	Deficient, Provider has date of correction	18 March 2024
25 January 2024	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	E	Yes	Deficient, Provider has date of correction	18 March 2024
25 January 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	E	Yes	Deficient, Provider has date of correction	18 March 2024
25 January 2024	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	18 March 2024
17 June 2022	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	15 August 2022
21 November 2019	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	28 January 2020
21 November 2019	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E	No	Deficient, Provider has date of correction	28 January 2020
21 November 2019	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	28 January 2020
21 November 2019	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	28 January 2020
21 November 2019	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	28 January 2020
21 November 2019	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	28 January 2020
21 November 2019	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E	No	Deficient, Provider has date of correction	28 January 2020
21 November 2019	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	28 January 2020
21 November 2019	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E	No	Deficient, Provider has date of correction	28 January 2020
21 November 2019	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	No	Deficient, Provider has date of correction	28 January 2020
21 November 2019	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.	D	No	Deficient, Provider has date of correction	28 January 2020

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

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Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	TUPPER LAKE CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services	1967-05-24
Provider Resides in Hospital	Y
Continuing Care Retirement Community	N
Urban	N
County/Parish	Franklin
Telephone Number	5183593355
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	60
Average Number of Residents per Day	56.9
Overall Rating	5
Health Inspection Rating	3
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	4
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 July 2026: NEIL J CICHETTI no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for TUPPER LAKE CENTER FOR NURSING AND REHABILITATION

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