Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 335833

Jefferson's Ferry

South Setauket, New York · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 September 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$40,235,119CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$40,235,119CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$44,816,629CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,581,510CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,115,407CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,533,897CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,533,897 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,960CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days6,003CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days1,622CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days9,716CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components17,341CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges162CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges2CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges30CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components194CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days811CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days89.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439064, 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 13 August 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$36,499,002CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$36,499,002CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$40,671,577CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,172,575CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,679,464CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,506,889CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,506,889 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,927CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components49CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days341.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days299.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days365.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391993, 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 10 August 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$31,430,112CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$31,430,112CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$36,677,014CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,246,902CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$3,084,941CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$8,331,843CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$8,331,843 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,967CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components156CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days482.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days115.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361767, 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 16 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$29,086,914CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$29,086,914CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$32,466,853CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,379,939CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,888,543CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,508,604CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,508,604 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,556CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components165CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.99CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days293.4CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days106.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332016, 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 10 November 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$28,827,009CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$28,827,009CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$31,868,969CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,041,960CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,356,760CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,314,800CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,314,800 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,282CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components168CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.93CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days586.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days102.87CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1303714, 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 13 November 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$28,804,260CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$28,804,260CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$30,797,578CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,993,318CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,822,262CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,828,944CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,828,944 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,828CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components207CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.16CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days3,399CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days100.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1273733, 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 27 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$27,972,797CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$27,972,797CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$29,220,402CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,247,605CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$274,892CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$972,713CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$972,713 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,991CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components159CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,816CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days132.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242476, 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 21 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$8,590,153CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,515,348CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,074,805CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$28,299,575CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$22,224,770CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$24,573,650CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,348,880CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,306,577 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,894CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components165CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.03CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days3,377CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days126.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208685, 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 26 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$7,775,972CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,132,141CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,643,831CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$28,872,982CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$23,229,151CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$24,944,588CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,715,437CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,557,836 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,313CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components142CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days143.05CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175177, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$25,267,955CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$25,267,955CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$27,617,207CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,349,252CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$913,425CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,435,827CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,435,827 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,757CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components90CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days66.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days491CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days230.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140483, 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 24 July 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$24,858,700CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$24,858,700CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$26,077,825CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,219,125CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,189,414CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$29,711CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$29,711 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,059CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components104CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days62.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days974.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days202.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1102088, 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 26 January 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$19,982,894CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$19,982,894CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$25,400,020CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,417,126CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,449,107CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,968,019CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,968,019 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,805CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components101CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days205.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1084940, 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 23 July 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$21,217,203CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$21,217,203CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$24,328,880CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,111,677CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,740,916CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,370,761CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,370,761 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,771CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components102CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days262.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days203.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1041920, 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 26 October 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$20,249,805CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$20,249,804CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$22,842,149CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,592,345CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$389,527CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,202,818CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,202,818 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,471CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components118CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days857CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days173.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013365, 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 5 August 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$19,496,906CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$22,646,754CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$3,149,848CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,217,454CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,932,394 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,274CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components106CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.91CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days200.7CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414706, 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 12 August 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$18,314,514CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$22,354,578CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$4,040,064CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,968,233CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$2,071,831 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,276CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components105CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days63.16CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days518.17CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days193.1CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385234, 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 30 August 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$18,608,079CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$21,229,268CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$2,621,189CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$566,347CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$2,054,842 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,678CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components82CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.23CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days718CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days252.17CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 355896, 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 28 August 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$17,726,957CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$21,346,180CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$3,619,223CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,751,757CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,867,466 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,329CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components80CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.27CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,936CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days266.61CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 325095, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 February 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$18,077,092CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$20,805,178CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$2,728,086CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,112,103CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,615,983 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,272CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components76CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days61.29CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,147CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days279.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 303098, 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 2 May 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$17,984,707CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$20,779,337CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$2,794,630CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,093,027CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,701,603 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,120CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components95CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.98CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days916.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days222.32CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 277775, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 20 January 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$17,927,637CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$20,156,020CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$2,228,383CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$146,049CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$2,082,334 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,228CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components93CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.09CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days817.3CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days228.26CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 240841, 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 21 January 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$16,056,292CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$19,611,920CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$3,555,628CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$675,313CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$2,880,315 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,062CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components95CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.67CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,121.57CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days211.18CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 204947, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 March 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$14,486,700CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$18,506,088CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$4,019,388CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$996,821CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$3,022,567 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,744CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components154CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.47CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days138.86CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days108.73CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 169966, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 6 November 2001 to 31 December 2001 — a reporting period of 55 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 25 September 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$3,518,008CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,078,807CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$2,439,201CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,157,780CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$10,635,449CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$7,038,468 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components1,272CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components10CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days63.67CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days127.2CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 160785, read from the public cost report file SNFFY2002.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
DANOWSKI, JAMESCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/24/2010
DARWELL, WENDYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2023
DAVIDOW, LAWRENCECORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/07/2022
ENGELHARDT, DEBRACORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/01/2019
KUBASEK-SHEMITZ, KIMCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/31/2019
ROBERTS, KENNETHCORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/07/2022
SHATTES, WAYNECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/08/1997
SINI, JOHNCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2007
SNYDER, GLORIACORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2016
AMTMANN, BRIANCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/09/2015
CAULFIELD, ROBERTCORPORATE OFFICERIndividualNOT APPLICABLEsince 08/01/2009
COMERFORD, ANTHONYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2016

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ACTIVE RETIREMENT COMMUNITY, INC. (enrollment ID O20120413000025).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
DEBRA LOIS ENGELHARDTIndividualCORPORATE DIRECTOR1005/1/2019
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.
GLORIA SNYDERIndividualCORPORATE DIRECTOR1001/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES DANOWSKIIndividualCORPORATE DIRECTOR1005/24/2010
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.
JOHN R SINIIndividualCORPORATE DIRECTORCMS 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: 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.
KENNETH DOUGLAS ROBERTSIndividualCORPORATE DIRECTOR1009/7/2022
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.
KIM MARIE KUBASEK-SHEMITZIndividualCORPORATE DIRECTOR1005/31/2019
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.
LAWRENCE ERIC DAVIDOWIndividualCORPORATE DIRECTOR1009/7/2022
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.
WAYNE S SHATTESIndividualCORPORATE DIRECTOR1005/8/1997
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.
WENDY DOROTHY DARWELLIndividualCORPORATE DIRECTOR1001/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRIAN A AMTMANNIndividualCORPORATE OFFICER1003/9/2015
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.
ROBERT E CAULFIELDIndividualCORPORATE OFFICER1008/1/2009
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.
ANTHONY COMERFORDIndividualOPERATIONAL/MANAGERIAL CONTROL1009/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
129 May 202529 May 202501
231 May 202431 May 202431
330 August 202230 August 202211

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

Deficiencies cited

4 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
13 June 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correction31 July 2025
18 November 2024HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.EYesDeficient, Provider has date of correction17 January 2025
31 May 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction1 July 2024
30 August 2022HealthF 0888Infection Control DeficienciesEnsure staff are vaccinated for COVID-19CNoDeficient, Provider has date of correction25 October 2022

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameACTIVE RETIREMENT COMMUNITY, INC.
Date First Approved to Provide Medicare and Medicaid Services2001-11-06
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishSuffolk
Telephone Number6316502700
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds60
Average Number of Residents per Day47.8
Overall Rating5
Health Inspection Rating5
QM Rating5
Long-Stay QM Rating3
Short-Stay QM Rating5
Processing Date2026-08-01

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

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On 1 July 2026: LAWRENCE ERIC DAVIDOW 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 Jefferson's Ferry

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 335833.