Skilled nursing facility · CMS certification number 345045
The Foley Center at Chestnut Ridge
Blowing Rock, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 92
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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,683,268 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,483,197 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,200,071 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,117,903 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$917,832 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $110,729 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$807,103 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$807,103 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 40,992 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,322 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 11,319 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 15,844 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 30,485 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 103 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 26 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 228 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 357 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 435.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403878, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,462,937 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,326,432 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,136,505 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,498,349 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,361,844 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $697,996 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,663,848 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,663,848 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,292 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 297 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 610.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1406063, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 June 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,544,394 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,814,364 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,730,030 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,370,457 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,640,427 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,041,348 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,599,079 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,599,079 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,025 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 293 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 962.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1381897, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,991,762 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,758,500 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,233,262 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,431,035 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,197,773 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $770,382 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$427,391 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$427,391 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,851 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 261 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 406.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1357568, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 April 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,092,623 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,662,601 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,430,022 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,240,636 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$810,614 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $139,616 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$670,998 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$670,998 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,096 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 315 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 667 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282087, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,957,880 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,412,482 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,545,398 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,156,643 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,611,245 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,237,976 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,373,269 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,373,269 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,748 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 456 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 600.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302634, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 March 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,921,139 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,333,413 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,587,726 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,149,576 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,561,850 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,654,343 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $92,493 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $92,493 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,962 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 460 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 478.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221063, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on 11 June 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,922,216 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,475,519 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,446,697 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,957,447 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,510,750 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,915,790 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,594,960 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,594,960 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,915 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 312 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 771.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1257542, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 September 2016
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, reopened, processed by CMS on 11 June 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,219,968 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,995,492 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,224,476 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,743,706 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,519,230 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,910,899 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,391,669 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,391,669 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,700 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 259 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 395.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1257541, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 September 2015
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on 11 June 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,681,208 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,866,280 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,814,928 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,554,534 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,739,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,905,574 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$834,032 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$834,032 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,006 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 273 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 286.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1257540, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 September 2014
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on 11 June 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,652,291 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,730,766 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,921,525 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,472,969 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,551,444 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,682,480 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $131,036 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $131,036 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,498 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 212 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 503.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1257539, read from the public cost report file SNF10FY2014.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| LIBERTY HEALTHCARE GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 10/01/2019 |
| WILSON, JEFFREY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2019 |
| CALCUTT, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2019 |
| LONG TERM CARE MANAGEMENT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2019 |
| DIGGS, MATTHEW | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/05/2020 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LIBERTY HEALTHCARE GROUP LLC (enrollment ID O20200214001683).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| LIBERTY HEALTHCARE GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN A MCNEILL JR 2012 IRRV TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN ALBERT MCNEILL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 26 | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RONALD B. AND CYNTHIA J. MCNEILL 2013 IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD BENJAMIN MCNEILL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 26 | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY S. WILSON | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOSEPH V CALCUTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2019 | 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. |
| LONG TERM CARE MANAGEMENT SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| MATTHEW ALEXANDER DIGGS | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/5/2020 | 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
No change in ownership appears in the CMS files on record since 20 September 2022.
Recent changes on this record
- 31 March 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 19 February 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 7 June 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 14 July 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 20 October 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 14 April 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 11 June 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 11 June 2020: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 11 June 2020: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 11 June 2020: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 13 March 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 31 July 2025 | 3 July 2024 | 3 | 7 |
| 2 | 3 July 2024 | 22 March 2023 | 17 | 1 |
| 3 | 22 March 2023 | 29 July 2021 | 0 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
20 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 31 July 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 23 August 2025 |
| 31 July 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 23 August 2025 |
| 31 July 2025 | 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 | 23 August 2025 |
| 3 July 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Yes | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Yes | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | No | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | No | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | Yes | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | Yes | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 16 July 2024 |
| 3 July 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 16 July 2024 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 3 July 2024 | Fine | $17,114 | 42440 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | LIBERTY HEALTHCARE GROUP LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1968-01-15 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Watauga |
| Telephone Number | 8283863300 |
| Chain Name | LIBERTY SENIOR LIVING |
| Chain ID | 310 |
| 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 | 92 |
| Average Number of Residents per Day | 80.6 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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