Skilled nursing facility · CMS certification number 335531
Hillside Manor Rehab & Extended Care Center
Jamaica Estates, New York · Medicare and Medicaid
Certified beds, as filed in Care Compare: 400
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, settled, processed by CMS on 4 November 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $51,774,405 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $51,774,405 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $49,533,838 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,240,567 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $276,102 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,516,669 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,289,854 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 146,000 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,200 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 90,844 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 34,443 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 131,487 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 123 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 269 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 268 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 660 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 337.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 199.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441905, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 June 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $44,067,693 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $44,067,693 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $45,417,123 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,349,430 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $757,669 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$591,761 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$593,024 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 120,860 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 687 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 285.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1381882, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 June 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $38,548,345 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $38,548,345 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $42,209,982 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,661,637 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,069,678 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,591,959 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,591,959 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 109,372 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 543 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 346.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 201.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1355280, 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 28 June 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $36,970,538 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $36,970,538 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $38,881,018 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,910,480 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,099,024 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,188,544 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $10,797,816 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 104,374 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 442 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 424.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 236.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1323356, 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 15 July 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $37,414,798 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,513 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $37,407,285 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $41,889,431 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,482,146 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,070,116 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,412,030 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,412,030 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 110,595 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 523 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 337.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 211.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1289430, 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 August 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $46,205,883 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $46,205,883 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $43,886,931 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,318,952 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $102,263 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,421,215 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,421,215 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 133,308 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 740 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 330.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 180.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1265464, 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 19 December 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $45,769,283 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $45,769,283 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $41,722,264 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,047,019 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $930,256 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,977,275 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,977,275 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 134,093 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 622 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 585.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 215.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1248309, 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 30 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $47,086,782 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $47,086,782 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $45,272,541 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,814,241 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,304,757 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,118,998 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,118,998 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 137,305 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 613 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 669.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 223.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203704, 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 19 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $46,583,216 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $46,583,216 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $45,202,295 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,380,921 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $233,727 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,614,648 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,614,648 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 140,135 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 627 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 488.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
CMS report record 1174062, 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 28 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $44,105,761 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $44,105,761 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $43,075,630 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,030,131 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $185,810 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,215,941 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,215,941 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 140,006 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 780 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 366.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
CMS report record 1138430, 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 8 March 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $44,254,320 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $44,254,320 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $44,916,198 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$661,878 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $203,824 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$458,054 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$458,054 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 143,346 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 711 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 276.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
CMS report record 1120043, 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 4 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $54,030,799 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $54,030,799 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $52,619,500 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,411,299 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $958,785 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,370,084 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,370,084 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 149,579 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 603 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 608.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
CMS report record 1074835, 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 27 January 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $52,741,699 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $178,377 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $52,563,322 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $53,093,668 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$530,346 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $152,212 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$378,134 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$378,134 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 150,920 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 694 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 286.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
CMS report record 1054600, 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 25 April 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $53,052,635 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$105,816 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $53,158,451 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $51,926,537 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,231,914 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $235,294 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,467,208 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,467,208 (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 | 400 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 147,377 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 696 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 514.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
CMS report record 1028011, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 April 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $50,146,454 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $50,411,302 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$264,848 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $155,788 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$109,060 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 136,581 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 639 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 613.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 213.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 427579, 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 23 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $53,504,537 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $51,483,240 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,021,297 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $90,046 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,111,343 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 141,979 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 614 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 599.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 231.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385997, 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 13 August 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $49,225,416 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $49,449,911 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$224,495 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,539 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$185,956 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 141,966 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 614 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 628.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 231.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354674, 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 9 September 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $47,621,113 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $46,972,351 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $648,762 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $133,435 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $782,197 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 139,974 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 580 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 686.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 241.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 325376, 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 with audit, processed by CMS on 8 September 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $46,233,178 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $47,482,832 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,249,654 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $419,115 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,857 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$836,396 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 138,248 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 518 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 88.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 266.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 356276, 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 24 October 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $46,160,350 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $43,978,445 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $2,181,905 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $265,183 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,447,088 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 135,926 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 752 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 1,131.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 200.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 180.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 265069, 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 14 December 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $41,927,668 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $40,535,008 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,392,660 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $297,330 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,689,990 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 134,533 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 886 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 795.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 170.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 151.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 239084, 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 30 June 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $43,748,911 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $42,089,847 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,659,064 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $232,476 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $40,734 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,850,806 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 136,491 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 600 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 3,056.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 324.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 227.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 226156, 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 28 November 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $42,362,535 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $42,278,363 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $84,172 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $157,900 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $242,072 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 136,344 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 443 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 4,123.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 440.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 307.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 164316, 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 28 November 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $40,743,342 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $37,390,198 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $3,353,144 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $450,817 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $760,952 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $3,043,009 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 137,107 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 412 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 5,091.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 450.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 332.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 164312, 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 18 March 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $34,504,507 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $36,104,245 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,599,738 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $721,521 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $231,483 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,109,700 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 138,382 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 478 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 5,060 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 388.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 289.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133197, 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 with audit, processed by CMS on 8 June 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $39,376,997 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,919,550 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $3,457,447 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $456,176 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $3,913,623 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 138,501 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 499 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 94.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 367.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 277.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 37995, 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 16 August 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $40,851,820 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $36,929,113 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $3,922,707 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $604,234 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $4,526,941 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 140,277 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 330 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 8,750 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 563.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 425.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 37993, 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 with audit, processed by CMS on 4 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $37,248,338 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $34,243,101 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $3,005,237 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $557,409 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $3,562,646 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 135,799 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 414 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 9,334 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 444 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 328.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 37991, 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 with audit, processed by CMS on 7 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $37,266,803 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $32,046,029 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $5,220,774 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $535,852 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $5,756,626 (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 | 400 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 139,463 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 571 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 78.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 536.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 244.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 37990, 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 |
|---|---|---|---|---|
| DICKER, MERYL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 80% | since 09/27/2012 |
| WISSMANN, DOUGLAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 13% | since 09/27/2012 |
| BOWNE ASSOCIATES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/07/1972 |
| DICKER, MERYL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/27/2012 |
| ESTATE OF MARCIA TRUPIN | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/07/1972 |
| FLORAL PARK MEDICAL PC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/01/2018 |
| HARIHARAN, GAYATHRI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/31/2024 |
| HMM & CO., LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2007 |
| JACKSON, JEFFREY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2019 |
| PANDYA, HIMANSHU | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/17/2011 |
| S&J MANAGEMENT II, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2022 |
| WISSMANN, DOUGLAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/27/2012 |
| DICKER, MERYL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/27/2012 |
| JACKSON, JEFFREY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2019 |
| WISSMANN, DOUGLAS | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/27/2012 |
| HARIHARAN, GAYATHRI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/31/2024 |
| PANDYA, HIMANSHU | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/17/2011 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HILLSIDE MANOR REHABILITATION AND EXTENDED CARE CENTER LLC (enrollment ID O20111201000053).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DOUGLAS WISSMANN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12.86 | 9/27/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY JACKSON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6.73 | 10/1/2019 | 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. |
| MERYL DICKER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 80.41 | 9/27/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BOWNE ASSOCIATES, 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. | 1/7/1972 | Private equity company: No Real estate investment trust: No Holding company: No |
| DOUGLAS WISSMANN | 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. | 9/27/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ESTATE OF MARCIA TRUPIN | 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. | 1/7/1972 | Private equity company: No Real estate investment trust: No Holding company: No |
| FLORAL PARK MEDICAL 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. | 6/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| GAYATHRI HARIHARAN | 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. | 12/31/2024 | 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. |
| HIMANSHU PANDYA | 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. | 10/17/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HMM & CO., LLP | 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. | 1/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| JEFFREY JACKSON | 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. | 10/1/2019 | 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. |
| MERYL DICKER | 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. | 9/27/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| S&J MANAGEMENT II, INC. | 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. | 7/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 1/1/2006 | 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. |
| 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. | 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. | 1/1/2006 | 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. |
| 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. | 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. | 1/1/2006 | 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. |
| 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. | 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. | 1/1/2006 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/7/1972 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 1/1/2006 | 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. |
| 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. | 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. | 1/1/2006 | 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. |
| DOUGLAS WISSMANN | 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. | 9/27/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY JACKSON | 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. | 10/1/2019 | 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. |
| MERYL DICKER | 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. | 9/27/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GAYATHRI HARIHARAN | 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. | 12/31/2024 | 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. |
| HIMANSHU PANDYA | 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. | 10/17/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2026: MITCHELL TELLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DOUGLAS WISSMANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JEFFREY JACKSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MERYL DICKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MERYL DICKER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ESTATE OF MARCIA TRUPIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: FLORAL PARK MEDICAL PC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: S&J MANAGEMENT II, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: BOWNE ASSOCIATES, 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: HIMANSHU PANDYA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: HIMANSHU PANDYA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: HMM & CO., LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: GAYATHRI HARIHARAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: GAYATHRI HARIHARAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DOUGLAS WISSMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DOUGLAS WISSMANN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JEFFREY JACKSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JEFFREY JACKSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Recent changes on this record
- 1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2026: MITCHELL TELLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DOUGLAS WISSMANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JEFFREY JACKSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MERYL DICKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MERYL DICKER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ESTATE OF MARCIA TRUPIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: FLORAL PARK MEDICAL PC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: S&J MANAGEMENT II, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: BOWNE ASSOCIATES, 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: HIMANSHU PANDYA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: HIMANSHU PANDYA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: HMM & CO., LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: GAYATHRI HARIHARAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: GAYATHRI HARIHARAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DOUGLAS WISSMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DOUGLAS WISSMANN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JEFFREY JACKSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JEFFREY JACKSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 4 November 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 7 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 28 June 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 28 June 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 15 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 28 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 19 December 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 30 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 19 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 28 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 8 March 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 4 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 27 January 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 25 April 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 17 April 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 23 August 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 8 September 2009: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 13 August 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 9 September 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 31 March 2025 | 31 March 2025 | 3 | 5 |
| 2 | 13 December 2023 | 13 December 2023 | 10 | 3 |
| 3 | 19 October 2021 | 19 October 2021 | 6 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
19 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 16 July 2025 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Yes | Past Non-Compliance | 7 July 2025 |
| 31 March 2025 | 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 | 29 May 2025 |
| 31 March 2025 | 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. | E | No | Deficient, Provider has date of correction | 29 May 2025 |
| 31 March 2025 | 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 | 29 May 2025 |
| 31 March 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 29 May 2025 |
| 30 September 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | 6 November 2024 |
| 30 September 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | J | Yes | Deficient, Provider has date of correction | 6 November 2024 |
| 30 September 2024 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Yes | Deficient, Provider has date of correction | 6 November 2024 |
| 13 December 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 9 February 2024 |
| 13 December 2023 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | 9 February 2024 |
| 13 December 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 9 February 2024 |
| 13 December 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 | 9 February 2024 |
| 13 December 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | 9 February 2024 |
| 19 October 2021 | 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 | 16 December 2021 |
| 19 October 2021 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 16 December 2021 |
| 19 October 2021 | 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. | E | No | Deficient, Provider has date of correction | 16 December 2021 |
| 19 October 2021 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | 16 December 2021 |
| 19 October 2021 | 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 | 16 December 2021 |
| 19 October 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 16 December 2021 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 30 September 2024 | Fine | $34,947 | 22346 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | HILLSIDE MANOR REHABILITATION AND EXTENDED CARE CENTER LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1975-12-22 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Queens |
| Telephone Number | 7182918200 |
| 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 | 400 |
| Average Number of Residents per Day | 380.8 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| 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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The citable document for Hillside Manor Rehab & Extended Care Center
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 York at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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