Skilled nursing facility · CMS certification number 345113
Willow Creek Nursing and Rehabilitation Center
Goldsboro, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 200
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 23 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,848,886 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,570,208 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,278,678 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,253,480 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $25,198 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $440,572 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $465,770 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $465,770 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 73,200 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,538 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 39,360 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,357 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 56,255 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 166 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 135 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 319 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 620 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 291.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441341, 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 7 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,176,870 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,171,187 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,005,683 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,687,108 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$681,425 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $363,997 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$317,428 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$317,428 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,500 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 532 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 341.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403395, 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 17 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,192,791 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,846,104 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,346,687 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,553,855 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$207,168 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $992,936 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $785,768 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $785,768 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,131 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 457 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 368.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372121, 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 31 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,205,256 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$340,635 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,545,891 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,087,073 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $458,818 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,529,775 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,988,593 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,988,593 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,965 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 437 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 338.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360433, 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 30 August 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,020,663 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,274,023 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,746,640 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,366,182 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$619,542 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $606,310 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$13,232 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$13,232 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,898 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 563 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 223.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330897, 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 16 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,196,991 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,145,950 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,051,041 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,001,074 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,950,033 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $181,873 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,768,160 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,768,160 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 61,954 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 675 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 228.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1298767, 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 6 August 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,782,257 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,828,696 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,953,561 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,609,062 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$655,501 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $175,665 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$479,836 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$479,836 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 66,624 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 800 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 231.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1262771, 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 5 December 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,924,105 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,942,730 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,981,375 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,102,401 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,121,026 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $530,842 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$590,184 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$590,184 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 63,358 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 762 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 260.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1246858, 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 with audit, processed by CMS on 19 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,737,868 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,436,260 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,301,608 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,239,552 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$937,944 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $277,478 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$660,466 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$660,466 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,893 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 776 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 244.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237696, 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 13 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,597,419 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,664,015 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,933,404 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,950,624 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$17,220 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $270,959 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $253,739 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $253,739 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 65,901 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 737 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 283.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1215734, 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 22 February 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,349,073 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,208,462 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,140,611 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,094,330 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $46,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $224,545 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $270,826 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $270,826 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 66,423 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 647 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 401.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119305, 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 22 September 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,192,293 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,310,778 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,881,515 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,424,755 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$543,240 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $262,795 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$280,445 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$280,445 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,081 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 697 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 293.77 | 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 1078252, 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 21 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,513,624 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,442,015 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,071,609 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,903,526 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $168,083 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $246,913 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $414,996 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $414,996 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 66,417 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 707 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 288.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1050949, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 September 2011
Cost report for 1 January 2011 to 30 September 2011 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 28 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,395,093 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,821,920 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $573,173 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $208,535 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $781,708 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,215 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 466 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 751.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434101, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 October 2010 to 31 December 2010 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 13 August 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,096,400 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,680,285 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $416,115 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,595 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $476,710 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,205 | 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 | 34.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 209.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 74.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431460, read from the public cost report file SNFFY2011.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 26 October 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,978,538 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,984,547 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $993,991 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $298,574 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,292,565 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,361 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 853 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 237.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 419493, 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 23 September 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,383,459 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,771,818 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $611,641 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $268,146 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $879,787 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 66,135 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 862 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 241.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 76.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 357107, 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 27 October 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,983,248 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,622,520 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,360,728 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $317,303 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,678,031 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,795 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 858 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 315.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327346, 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 24 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,583,214 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,493,373 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,089,841 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $251,015 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,340,856 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,369 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 766 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 320.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 90.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 279462, 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 20 October 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,029,566 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,719,609 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $309,957 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $204,493 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $514,450 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 65,979 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 832 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 271.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 79.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264887, 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 16 October 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,325,302 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,785,266 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,540,036 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $184,665 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,724,701 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,368 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 696 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 425.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 98.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264139, 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 9 December 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,467,206 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,500,991 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $966,215 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $133,088 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,099,303 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,725 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 540 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 586.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 238734, 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, as submitted, processed by CMS on 13 August 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,325,309 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,064,869 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,260,440 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $78,129 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,338,569 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,398 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 526 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 580.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156841, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,499,595 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,740,079 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $759,516 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $83,633 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $843,149 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,840 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 306 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 648.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 224.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116567, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,377,083 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,775,411 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $601,672 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $96,001 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $697,673 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 66,338 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 285 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 554.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 232.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 124155, 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, reopened, processed by CMS on 12 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,545,183 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,439,816 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $105,367 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $245,512 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $350,879 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 66,362 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 283 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 468.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 234.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116375, 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 12 December 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,349,965 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,933,938 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $416,027 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $274,724 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $690,751 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,767 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 257 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 513.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 275.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39877, 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 9 June 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,448,320 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,998,472 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $449,848 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $73,601 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $523,449 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,324 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 209 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 495.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 341.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39875, 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 31 July 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,346,615 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,354,660 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$8,045 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $55,536 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $47,491 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,624 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 185 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 543.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 365.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39873, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BOICE, GALE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/05/2018 |
| HILL, RAYMOND | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2011 |
| HILL, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2011 |
| HILL, STEPHEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2011 |
| KRISHNARAJ, RAMESH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2023 |
| PRINCIPLE IT SERVICES, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2011 |
| PRINCIPLE LONG TERM CARE, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/17/2025 |
| STROUD, WENDY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/17/2025 |
| BOICE, GALE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/05/2018 |
| HOOD, LYNN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2017 |
| JOHNSON, DIANNE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2011 |
| PRINCIPLE IT SERVICES, INC. | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2011 |
| PRINCIPLE LONG TERM CARE, INC. | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2011 |
| KRISHNARAJ, RAMESH | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 03/01/2023 |
| STROUD, WENDY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/24/2021 |
| HOOD, LYNN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2017 |
| PRINCIPLE LONG TERM CARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2011 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BIRCH LTC GROUP, LLC (enrollment ID O20110503000519).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PRINCIPLE IT SERVICES, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| PRINCIPLE LONG TERM CARE, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| RAYMOND GREGG HILL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18.47 | 1/1/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROBERT O'NEIL HILL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20.6 | 1/1/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STEPHEN BRITT HILL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20.02 | 1/1/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GALE R BOICE | 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. | 3/5/2018 | 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. |
| PRINCIPLE IT SERVICES, 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. | 1/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| PRINCIPLE LONG TERM CARE, 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. | 6/17/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| RAMESH L KRISHNARAJ | 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. | 3/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RAYMOND GREGG HILL | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROBERT O'NEIL HILL | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STEPHEN BRITT HILL | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WENDY M STROUD | 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. | 6/17/2025 | 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. |
| DIANNE JOHNSON | 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. | 1/1/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GALE R BOICE | 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. | 3/5/2018 | 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. |
| LYNN HOOD | 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. | 11/1/2017 | 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. |
| PRINCIPLE IT SERVICES, INC. | Organization | DIRECT OWNERSHIP INTEREST | 50 | 1/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| PRINCIPLE LONG TERM CARE, INC. | Organization | DIRECT OWNERSHIP INTEREST | 50 | 1/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| RAMESH L KRISHNARAJ | 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. | 3/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WENDY M STROUD | 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. | 5/24/2021 | 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. |
| LYNN HOOD | 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. | 11/1/2017 | 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. |
| PRINCIPLE LONG TERM CARE, 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. | 1/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: RAYMOND GREGG HILL 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: RAYMOND GREGG HILL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND GREGG HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND GREGG HILL appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 August 2025: PRINCIPLE IT SERVICES, INC. appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PRINCIPLE IT SERVICES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WENDY M STROUD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WENDY M STROUD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RAMESH L KRISHNARAJ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RAMESH L KRISHNARAJ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PRINCIPLE LONG TERM CARE, INC. appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PRINCIPLE LONG TERM CARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GALE R BOICE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: STEPHEN BRITT HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ROBERT O'NEIL HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RAYMOND GREGG HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- 1 July 2026: RAYMOND GREGG HILL 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: RAYMOND GREGG HILL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND GREGG HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND GREGG HILL appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 23 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 August 2025: PRINCIPLE IT SERVICES, INC. appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PRINCIPLE IT SERVICES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WENDY M STROUD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WENDY M STROUD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RAMESH L KRISHNARAJ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RAMESH L KRISHNARAJ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PRINCIPLE LONG TERM CARE, INC. appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PRINCIPLE LONG TERM CARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GALE R BOICE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: STEPHEN BRITT HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ROBERT O'NEIL HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RAYMOND GREGG HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 7 February 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 17 January 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 31 July 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 30 August 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 16 September 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 6 August 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 5 December 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 19 July 2019: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 13 December 2018: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 22 February 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 22 September 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 21 November 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 28 January 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- 13 August 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2011.zip
- 28 February 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 26 October 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 23 September 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 27 October 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 24 May 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 20 October 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 16 October 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 9 December 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 13 August 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 19 March 2026 | 6 December 2024 | 9 | 1 |
| 2 | 6 December 2024 | 30 November 2023 | 8 | 0 |
| 3 | 30 November 2023 | 18 November 2022 | 7 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
24 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 11 June 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 30 June 2026 |
| 11 June 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 30 June 2026 |
| 11 June 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 30 June 2026 |
| 11 June 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | 30 June 2026 |
| 11 June 2026 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | F | Yes | Deficient, Provider has date of correction | 30 June 2026 |
| 19 March 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | B | No | No revisit needed | 7 April 2026 |
| 19 March 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 7 April 2026 |
| 13 February 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Past Non-Compliance | |
| 13 February 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | |
| 24 January 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 29 January 2025 |
| 6 December 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | 24 January 2025 |
| 6 December 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Past Non-Compliance | 19 May 2024 |
| 6 December 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 24 January 2025 |
| 6 December 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 24 January 2025 |
| 6 December 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 24 January 2025 |
| 6 December 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | 24 January 2025 |
| 6 December 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 24 January 2025 |
| 30 November 2023 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | F | No | Deficient, Provider has date of correction | 28 December 2023 |
| 30 November 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | 28 December 2023 |
| 30 November 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 28 December 2023 |
| 30 November 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 28 December 2023 |
| 30 November 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | 28 December 2023 |
| 30 November 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 28 December 2023 |
| 30 November 2023 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | 28 December 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 13 February 2026 | Fine | $4,394 | 137163 | ||
| 13 February 2026 | Fine | $4,394 | 137439 | ||
| 6 December 2024 | Fine | $6,570 | 42644 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | BIRCH LTC GROUP, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1974-06-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Wayne |
| Telephone Number | 9197362121 |
| Chain Name | PRINCIPLE LONG TERM CARE |
| Chain ID | 423 |
| 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 | 200 |
| Average Number of Residents per Day | 165.2 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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The citable document for Willow Creek Nursing and Rehabilitation Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in 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.
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