Skilled nursing facility · CMS certification number 345106

Trinity Ridge

Hickory, North Carolina · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

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 15 October 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$22,693,224	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,291,492	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,401,732	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,596,941	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$195,209	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$542,130	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$346,921	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $346,921 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	43,920	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	4,569	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	20,269	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	15,638	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	40,476	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	141	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	27	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	170	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	338	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	750.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	119.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440939, 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 28 February 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$21,985,448	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,692,778	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,292,670	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,355,550	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$62,880	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$318,350	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$255,470	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $255,470 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,313	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	305	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.03	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	497.2	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	128.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1373990, 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 11 April 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$16,283,013	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,303,460	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,979,553	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,610,785	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$368,768	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,224,167	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,592,935	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,592,935 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,576	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	235	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	921.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	159.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376263, 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.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$14,668,184	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,430,111	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,238,073	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,602,418	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$635,655	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$883,732	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,519,387	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,519,387 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,636	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	289	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	837	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	130.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358692, 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 27 July 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$15,513,846	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,885,927	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,627,919	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,962,855	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$665,064	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$486,860	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,151,924	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,151,924 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	40,642	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	362	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	484.86	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	112.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328080, 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 21 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$15,083,412	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,847,906	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,235,506	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,243,895	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$8,389	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$203,640	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$195,251	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $195,251 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	40,462	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	477	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	648.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	84.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254319, 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 16 September 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$15,016,437	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,560,105	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,456,332	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,572,137	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$115,805	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$185,199	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$69,394	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $69,394 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	40,545	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	441	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.03	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	755.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	91.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1267977, 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, settled, processed by CMS on 15 August 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$14,850,329	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,543,348	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,306,981	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,159,098	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$147,883	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$196,722	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$344,605	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $344,605 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	41,639	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	431	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	663	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	96.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240985, 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, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$14,414,303	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,425,550	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,988,753	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,013,402	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$24,649	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$93,233	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$68,584	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $68,584 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	41,795	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	382	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	573.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	109.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1201194, 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, settled, processed by CMS on 3 May 2018.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$13,931,135	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,157,598	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,773,537	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,901,733	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$128,196	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$177,411	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$49,215	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $49,215 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	42,158	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	321	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	685.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	131.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1189289, 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, settled, processed by CMS on 28 October 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$13,467,500	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,234,183	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,233,317	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,957,170	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$723,853	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$182,207	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$541,646	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$541,646 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	41,914	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	389	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,083.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	107.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1111997, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 30 September 2013

Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$10,641,702	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,905,243	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,736,459	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,849,068	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$112,609	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$148,772	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$36,163	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $36,163 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,599	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	260	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	315.34	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	144.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1088741, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 September 2012

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$10,985,912	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,649,844	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,336,068	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,860,837	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$475,231	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$1,537,781	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,062,550	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,062,550 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,466	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	236	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	340.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	167.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1058226, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 September 2011

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$10,218,868	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,984,593	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,234,275	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$209,566	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,443,841 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,284	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	174	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	66.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	449.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	237.26	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 431599, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended 30 September 2010

Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 December 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$8,521,210	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,361,540	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$159,670	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$210,915	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$469	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $370,116 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,725	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	195	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	334.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	213.97	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 421983, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 September 2009

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 March 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$8,366,869	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,884,079	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$482,790	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$132,078	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $614,868 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,118	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	196	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.1	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	474.47	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	209.79	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 395500, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 30 September 2008

Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 March 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$8,330,544	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,113,683	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$216,861	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$270,213	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $487,074 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,352	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	130	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	67.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	724.9	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	318.09	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 336486, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 30 September 2007

Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 February 2009.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$7,798,185	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,570,234	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$227,951	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$149,064	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $377,015 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,735	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	101	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	107.56	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,168.78	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	403.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 333614, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 30 September 2006

Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 August 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$7,432,808	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,178,769	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$254,039	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$142,039	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$19,488	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $376,590 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,605	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	90	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	95.66	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,206	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	462.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 291894, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 30 September 2005

Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 October 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$7,147,555	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,788,829	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$358,726	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$173,280	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	−$39,987	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $571,993 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,079	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	228	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.95	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	440	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	180.17	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 264146, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 30 September 2004

Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 1 February 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$6,510,308	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,582,059	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$71,751	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$110,026	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $38,275 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,567	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	93	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	111.47	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	890.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	436.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 242044, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 30 September 2003

Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 May 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$6,797,477	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,106,964	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$690,513	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$88,834	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$131,284	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $648,063 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,908	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	125	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	88.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	548.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	327.26	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 215797, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 30 September 2002

Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 September 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$5,437,675	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,767,661	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$329,986	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$142,461	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$187,525 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,458	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	231	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.21	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	337.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	175.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 193804, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 30 September 2001

Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 12 February 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$4,307,205	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,347,225	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$40,020	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$20,670	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$795	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$20,145 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,160	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	101	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	44.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,023.76	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	318.42	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 118399, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 30 September 2000

Cost report for 1 October 1999 to 30 September 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$4,127,575	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,980,352	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$147,223	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,362	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $159,585 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,985	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	142	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	96.96	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	456.77	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	267.5	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 124353, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 30 September 1999

Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$3,732,979	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,674,333	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$58,646	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,921	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $64,567 (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 1999
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,269	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	141	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	125.19	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	367.38	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	278.5	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 39850, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 30 September 1998

Cost report for 1 October 1997 to 30 September 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 October 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$3,659,397	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,665,081	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$5,684	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,402	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $10,718 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,062	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	148	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	65.04	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	314.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	270.69	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 39849, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 30 September 1997

Cost report for 1 October 1996 to 30 September 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 September 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$3,538,302	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,499,304	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$38,998	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$87,634	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $126,632 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,574	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	175	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	79.83	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	298.81	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	237.57	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 39847, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 30 September 1996

Cost report for 1 October 1995 to 30 September 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 6 August 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$3,534,295	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,264,076	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$270,219	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$15,891	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $286,110 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,988	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	147	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	145	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	398.74	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	285.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 39845, read from the public cost report file SNFFY1996.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
CORDER, JOHN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2012
HUFFMAN, HANNAH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/28/2018
LSA MANAGEMENT, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/25/2025
LUTHERAN HOME HICKORY WEST PROPERTY, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/14/2025
NICKERSON, KIRBY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/25/2012
SMITH, KESHA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2012
SMITH, KESHA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/08/2023
MADDRY, KAREN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2012
NICKERSON, KIRBY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2012
GOINS, TED	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2004
HERMAN, RICHARD	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 06/01/2021
NELSON, DOUGLAS	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 09/21/2022
CORDER, JOHN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2012
GOINS, TED	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2004
HUFFMAN, HANNAH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/28/2018
LSA MANAGEMENT, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/04/2004
LUTHERAN HOME HICKORY WEST PROPERTY, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/05/1988
SMITH, KESHA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2004
GOINS, TED	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2004
HERMAN, RICHARD	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2021
LSA MANAGEMENT, INC.	TRUSTEE OF THE SNF	Organization	NOT APPLICABLE	since 11/04/2004
LUTHERAN SERVICES FOR THE AGING, INC.	TRUSTEE OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2004
NELSON, DOUGLAS	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 09/01/2022
NICKERSON, KIRBY	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 06/25/2012

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LUTHERAN HOME - HICKORY WEST, INC (enrollment ID O20041101000676).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
HANNAH HUFFMAN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/28/2018	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 STEVEN CORDER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KESHA L SMITH	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KIRBY NICKERSON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/25/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LSA MANAGEMENT, INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/25/2025	Private equity company: No Real estate investment trust: No Holding company: No
LUTHERAN HOME HICKORY WEST PROPERTY, INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
KESHA L SMITH	Individual	CORPORATE DIRECTOR	0	9/8/2023	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.
KAREN MADDRY	Individual	CORPORATE OFFICER	0	10/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KIRBY NICKERSON	Individual	CORPORATE OFFICER	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.	10/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DOUGLAS E NELSON	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/21/2022	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.
RICHARD HERMAN	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2021	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.
TED W GOINS	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2004	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.
HANNAH HUFFMAN	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.	10/28/2018	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 STEVEN CORDER	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.	10/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KESHA L SMITH	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.	10/1/2004	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.
LSA MANAGEMENT, INC.	Organization	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.	11/4/2004	Private equity company: No Real estate investment trust: No Holding company: No
LUTHERAN HOME HICKORY WEST PROPERTY, INC.	Organization	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.	4/5/1988	Private equity company: No Real estate investment trust: No Holding company: No
TED W GOINS	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.	10/1/2004	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DOUGLAS E NELSON	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/1/2022	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.
KIRBY NICKERSON	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/25/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LSA MANAGEMENT, INC.	Organization	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/4/2004	Private equity company: No Real estate investment trust: No Holding company: No
LUTHERAN SERVICES FOR THE AGING, INC.	Organization	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2004	Private equity company: No Real estate investment trust: No Holding company: No
RICHARD HERMAN	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2021	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.
TED W GOINS	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2004	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: KESHA L SMITH no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN STEVEN CORDER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN STEVEN CORDER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN STEVEN CORDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN STEVEN CORDER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 June 2025: LUTHERAN SERVICES FOR THE AGING, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MARY M FINKLEA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GEORGE E BRAMLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TONYA A HILLARD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LSA MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LSA MANAGEMENT, INC. appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KIRBY NICKERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KIRBY NICKERSON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN SERVICES FOR THE AGING, INC. appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DOUGLAS E NELSON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DOUGLAS E NELSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: HANNAH HUFFMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: HANNAH HUFFMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RICHARD HERMAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RICHARD HERMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JOHN STEVEN CORDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JOHN STEVEN CORDER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv

Recent changes on this record

1 July 2026: KESHA L SMITH no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN STEVEN CORDER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN STEVEN CORDER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN STEVEN CORDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN STEVEN CORDER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
15 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 June 2025: LUTHERAN SERVICES FOR THE AGING, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MARY M FINKLEA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GEORGE E BRAMLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TONYA A HILLARD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LSA MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LSA MANAGEMENT, INC. appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KIRBY NICKERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KIRBY NICKERSON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN SERVICES FOR THE AGING, INC. appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DOUGLAS E NELSON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DOUGLAS E NELSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: HANNAH HUFFMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: HANNAH HUFFMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RICHARD HERMAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RICHARD HERMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JOHN STEVEN CORDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JOHN STEVEN CORDER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
11 April 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
28 February 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	18 June 2026	27 March 2025	1	2
2	27 March 2025	29 November 2023	3	2
3	29 November 2023	9 June 2022	1	3

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

Deficiencies cited

5 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
18 June 2026	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.	D	No	Deficient, Provider has plan of correction	2 July 2026
27 March 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	16 April 2025
27 March 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	17 April 2025
27 March 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	16 April 2025
29 November 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Past Non-Compliance	21 August 2023

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

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	LUTHERAN HOME - HICKORY WEST, INC
Date First Approved to Provide Medicare and Medicaid Services	1973-12-10
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Catawba
Telephone Number	8283226995
Chain Name	LUTHERAN SERVICES CAROLINAS
Chain ID	327
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	120
Average Number of Residents per Day	111.3
Overall Rating	5
Health Inspection Rating	4
QM Rating	2
Long-Stay QM Rating	1
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.

Get an email when this record changes

One email a day naming what moved on Trinity Ridge: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

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

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The citable document for Trinity Ridge

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 North Carolina 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.

Read the citable document for this facility →

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 345106.