Skilled nursing facility · CMS certification number 335816
Canterbury Woods
WILLIAMSVILLE, New York · Medicare and Medicaid
Certified beds, as filed in Care Compare: 50
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 17, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,094,193 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $586,029 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,508,164 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $29,056,510 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,548,346 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,453,380 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,905,034 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,905,034 (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 204,151 of the 204,151 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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 18,300 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 602 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 15,805 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,407 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 67 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 193.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1431271, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 21, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,122,766 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $621,445 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,501,321 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,178,740 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,677,419 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,523,033 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,845,614 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,845,614 (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 204,151 of the 204,151 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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,721 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 165.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1385539, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 20, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,033,119 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $881,192 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,151,927 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,860,671 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,708,744 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,251,169 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,457,575 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,457,575 (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 204,151 of the 204,151 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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,237 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 231 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359349, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 25, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,977,130 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $862,844 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,114,286 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,433,532 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,319,246 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,177,662 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,858,416 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,858,416 (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 204,151 of the 204,151 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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,244 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 371 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330614, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,387,193 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $442,115 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,945,078 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,663,845 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,718,767 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,164,769 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,446,002 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,446,002 (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 204,151 of the 204,151 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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,646 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 187.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300136, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 2, 2020.
None of these figures is carried on this report.
CMS report record 1256635, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2019.
None of these figures is carried on this report.
CMS report record 1237976, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 30, 2018.
None of these figures is carried on this report.
CMS report record 1211131, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,601,332 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $17,601,332 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,668,539 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$67,207 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $600,021 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $532,814 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $532,814 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 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 patient days, all components | 17,158 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 336.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175270, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,386,389 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $17,386,389 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,784,724 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $601,665 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,552,772 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,154,437 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,154,437 (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 204,151 of the 204,151 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 | 48 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,569 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 218.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1136844, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,877,214 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $17,877,214 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,696,174 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,181,040 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $337,961 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,519,001 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,519,001 (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 204,151 of the 204,151 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 | 48 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,117 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 158.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108155, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 18, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,638,839 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $16,638,839 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,557,226 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $81,613 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $98,176 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $179,789 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $179,789 (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 204,151 of the 204,151 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 | 48 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,470 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 161.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1087350, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,752,434 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $15,752,434 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,334,442 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$582,008 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $589,417 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $7,409 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,409 (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 204,151 of the 204,151 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 | 48 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,751 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 194.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042048, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,450,065 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $15,450,065 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,807,197 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$357,132 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $951,453 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $594,321 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $594,321 (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 204,151 of the 204,151 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 | 48 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,054 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 120.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016476, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 12, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,176,079 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,005,577 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$829,498 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $960,462 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $130,964 (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 | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,468 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 39.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 149.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415279, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 12, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,803,806 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,753,641 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,949,835 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,931,197 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $981,362 (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 | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,010 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 811 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385321, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 30, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,392,707 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,088,380 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,695,673 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,124,531 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$571,142 (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 | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,551 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 67 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 247.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355797, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,808,221 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,628,195 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,819,974 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,183,962 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,636,012 (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 | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,131 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 21 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 815.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 331494, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 3, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,262,995 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,298,660 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,035,665 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,657,783 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,377,882 (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 | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,734 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 55 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 304.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 311089, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 22, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,454,115 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,338,964 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,884,849 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,461,655 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,423,194 (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 | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,091 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 94 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 171.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266976, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 31, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,943,574 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,873,296 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,929,722 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,334,452 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,595,270 (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 | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,156 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 920 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 199.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232101, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 29, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,144,618 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,931,616 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,786,998 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $823,467 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $352,508 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$3,316,039 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,631 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 307 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 339.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 196297, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 28, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,351,554 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,990,112 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,638,558 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $517,284 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $45,296 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$3,166,570 (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 | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,728 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 111 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 692 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 161560, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,263,256 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,193,795 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,930,539 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $938,817 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$2,991,722 (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 | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,230 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 269 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 208.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 125982, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,686,036 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,584,759 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$5,898,723 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,271,606 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$4,627,117 (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 | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,146 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 53 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 191.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 113918, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for August 2, 1999 to December 31, 1999 — a reporting period of 151 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 4, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,873,225 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,476,949 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$5,603,724 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $765,421 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,825 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$4,841,128 (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 | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 1,492 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 12 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 124.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39520, read from the public cost report file SNFFY1999.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 October 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BODKIN, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2013 |
| BONADIO & CO LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/02/2015 |
| BRIMS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| CCRC ACTUARIES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2001 |
| DEMARCO, ISADORE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/12/2008 |
| ECH&A SERVICES ORGANIZATION, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2025 |
| ERIE COUNTY INDUSTRIAL DEVELOPMENT AGENCY | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/29/2025 |
| JULIANO, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/15/2002 |
| PROCYON ADVISORS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2020 |
| WALLACE, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2007 |
| WILSON, PAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/07/2022 |
| BELTER, PAUL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2022 |
| CARBALLADA, GREGORY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2015 |
| FREDERICK, RHONDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2022 |
| HUNT, LAURA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2022 |
| MOHNEY, KATHERINE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2015 |
| ROSSI, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2023 |
| SAVATTIERI, SARAH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| SPETH, JOSEPH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/06/1995 |
| VASQUEZ, FRANCISCO | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2023 |
| WORRALL, PETER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| JULIANO, JAMES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/01/2007 |
| WALLACE, ROBERT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/01/2007 |
| ANDERSON, KARLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/23/2024 |
| ANDRYSIAK, SABRINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/28/2013 |
| BARILLARI, SANDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/07/2019 |
| BELTER, PAUL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2022 |
| BERTHIAUME, BRIDGITTE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/04/2022 |
| BODKIN, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2013 |
| CARBALLADA, GREGORY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2015 |
| CONGI, CHARLES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/05/2021 |
| DEMARCO, ISADORE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/12/2008 |
| EPISCOPAL CHURCH HOME AND AFFILIATES, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/06/1995 |
| FREDERICK, RHONDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2022 |
| HUNT, LAURA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2022 |
| JULIANO, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/15/2002 |
| KOTRIDES, ALEXANDER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/02/2022 |
| MOHNEY, KATHERINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| ROSSI, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| SAVATTIERI, SARAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| SPETH, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/06/1995 |
| VASQUEZ, FRANCISCO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| WALLACE, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2007 |
| WILSON, PAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/07/2022 |
Medicare enrollment
As filed in the CMS file dated August 2, 2026 (Medicare enrollment ownership), under the enrollment of EPISCOPAL CHURCH HOME & AFFILIATES LIFE CARE COMMUNITY INC (enrollment ID O20111207000691).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BONADIO & CO LLP | Organization | ADP OF THE SNF | Not stated in the filing | 02/02/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRIMS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| CCRC ACTUARIES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 01/01/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| ECH&A SERVICES ORGANIZATION, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ERIE COUNTY INDUSTRIAL DEVELOPMENT AGENCY | Organization | ADP OF THE SNF | Not stated in the filing | 07/29/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ISADORE A DEMARCO | Individual | ADP OF THE SNF | Not stated in the filing | 05/12/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES J JULIANO | Individual | ADP OF THE SNF | Not stated in the filing | 09/15/2002 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN J BODKIN | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAM WILSON | Individual | ADP OF THE SNF | Not stated in the filing | 03/07/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PROCYON ADVISORS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 09/21/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROBERT L WALLACE | Individual | ADP OF THE SNF | Not stated in the filing | 08/01/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 01/06/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 02/02/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 09/21/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 01/01/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 02/02/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANCISCO M VASQUEZ | Individual | CORPORATE DIRECTOR | Not stated in the filing | 01/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY R CARBALLADA | Individual | CORPORATE DIRECTOR | Not stated in the filing | 01/01/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH A SPETH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 07/06/1995 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHERINE M MOHNEY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 01/01/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURA S HUNT | Individual | CORPORATE DIRECTOR | Not stated in the filing | 01/01/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL ROSSI | Individual | CORPORATE DIRECTOR | Not stated in the filing | 01/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL E BELTER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 01/01/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PETER WORRALL | Individual | CORPORATE DIRECTOR | Not stated in the filing | 01/01/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RHONDA FREDERICK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 01/01/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SARAH SAVATTIERI | Individual | CORPORATE DIRECTOR | Not stated in the filing | 01/01/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES J JULIANO | Individual | CORPORATE OFFICER | 0.00 | 09/01/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT L WALLACE | Individual | CORPORATE OFFICER | Not stated in the filing | 08/01/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALEXANDER KOTRIDES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 09/02/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIDGITTE BERTHIAUME | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/04/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES CONGI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 09/05/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EPISCOPAL CHURCH HOME AND AFFILIATES, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 07/06/1995 | Private equity company: No Real estate investment trust: No Holding company: No |
| FRANCISCO M VASQUEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY R CARBALLADA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/01/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ISADORE A DEMARCO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 05/12/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES J JULIANO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 09/15/2002 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN J BODKIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH A SPETH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 07/06/1995 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KARLA ANDERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/23/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHERINE M MOHNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/01/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURA S HUNT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/01/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL ROSSI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAM WILSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 03/07/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL E BELTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/01/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RHONDA FREDERICK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/01/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT L WALLACE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 08/01/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SABRINA L ANDRYSIAK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 05/28/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SANDY BARILLARI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/07/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SARAH SAVATTIERI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/01/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: RICH MCCARTHY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ARTHUR RUSS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANNE RYAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERT L WALLACE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: EPISCOPAL CHURCH HOME & AFFILIATES, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DALE LESINSKI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES J JULIANO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAROL SALVATORE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRIMS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KATHERINE M MOHNEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHARLES CONGI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RHONDA FREDERICK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RHONDA FREDERICK (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: FRANCISCO M VASQUEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: FRANCISCO M VASQUEZ (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAM WILSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAM WILSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ISADORE A DEMARCO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 12, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ISADORE A DEMARCO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 12, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOSEPH A SPETH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 6, 1995. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KARLA ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BONADIO & CO LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 2, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ALEXANDER KOTRIDES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL ROSSI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL ROSSI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GREGORY R CARBALLADA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SABRINA L ANDRYSIAK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN J BODKIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN J BODKIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PETER WORRALL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PROCYON ADVISORS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 21, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ECH&A SERVICES ORGANIZATION, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SANDY BARILLARI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 7, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES J JULIANO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 15, 2002. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES J JULIANO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 15, 2002. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ERIE COUNTY INDUSTRIAL DEVELOPMENT AGENCY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERT L WALLACE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERT L WALLACE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LAURA S HUNT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LAURA S HUNT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SARAH SAVATTIERI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SARAH SAVATTIERI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRIDGITTE BERTHIAUME (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 4, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: EPISCOPAL CHURCH HOME AND AFFILIATES, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 6, 1995. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CCRC ACTUARIES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAUL E BELTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAUL E BELTER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- July 1, 2026: RICH MCCARTHY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ARTHUR RUSS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANNE RYAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERT L WALLACE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: EPISCOPAL CHURCH HOME & AFFILIATES, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DALE LESINSKI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES J JULIANO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAROL SALVATORE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRIMS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KATHERINE M MOHNEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHARLES CONGI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RHONDA FREDERICK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RHONDA FREDERICK (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: FRANCISCO M VASQUEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: FRANCISCO M VASQUEZ (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAM WILSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAM WILSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ISADORE A DEMARCO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 12, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ISADORE A DEMARCO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 12, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOSEPH A SPETH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 6, 1995. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KARLA ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BONADIO & CO LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 2, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ALEXANDER KOTRIDES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL ROSSI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL ROSSI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GREGORY R CARBALLADA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SABRINA L ANDRYSIAK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 28, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN J BODKIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN J BODKIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PETER WORRALL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PROCYON ADVISORS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 21, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ECH&A SERVICES ORGANIZATION, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SANDY BARILLARI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 7, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES J JULIANO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 15, 2002. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES J JULIANO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 15, 2002. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ERIE COUNTY INDUSTRIAL DEVELOPMENT AGENCY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERT L WALLACE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERT L WALLACE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LAURA S HUNT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LAURA S HUNT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 8, 2025 | January 8, 2025 | 5 | 3 |
| 2 | June 2, 2023 | June 2, 2023 | 2 | 5 |
| 3 | December 30, 2021 | December 30, 2021 | 2 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
9 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 8, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | February 7, 2025 |
| January 8, 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 | February 7, 2025 |
| January 8, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | February 21, 2025 |
| January 8, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | February 21, 2025 |
| January 8, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | February 21, 2025 |
| June 2, 2023 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | July 18, 2023 |
| June 2, 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. | E | No | Deficient, Provider has date of correction | July 18, 2023 |
| December 30, 2021 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | February 21, 2022 |
| December 30, 2021 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | B | No | Deficient, Provider has date of correction | February 21, 2022 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Church related |
| Legal Business Name | EPISCOPAL CHURCH HOME & AFFILIATES LIFE CARE COMMUNITY INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1999-08-02 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Erie |
| Telephone Number | 7169295800 |
| 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 | 50 |
| Average Number of Residents per Day | 41.1 |
| Overall Rating | 3 |
| Health Inspection Rating | 4 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Canterbury Woods: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 1, 2026: RICH MCCARTHY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Canterbury Woods
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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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 335816.