Skilled nursing facility · CMS certification number 345129
Davie Nursing and Rehabilitation Center
Mocksville, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 96
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 February 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,394,751 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,794,317 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,600,434 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,569,200 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,031,234 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,031,237 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,031,237 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 39,528 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,984 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 21,153 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 12,590 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 36,727 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 89 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 51 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 223 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 363 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 414.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448001, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on 17 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,139,030 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $630,408 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,508,622 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,110,237 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,398,385 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,553 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,401,938 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,401,938 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,625 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 446 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 190.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441051, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,404,374 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $121,556 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,282,818 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,540,901 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$258,083 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,948,852 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,690,769 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,690,769 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,377 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 338 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 278.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395094, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 November 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,951,782 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $704,594 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,247,188 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,004,985 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $242,203 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,606,561 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,848,764 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,848,764 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,865 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 294 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 254.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367678, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 December 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,239,473 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,268,226 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,971,247 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,614,318 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$643,071 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,113,503 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $470,432 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $470,432 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,093 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 322 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 295.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338202, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 19 February 2019 to 31 December 2019 — a reporting period of 315 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,270,654 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,266,493 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,004,161 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,598,923 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$594,762 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,680 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$581,082 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$581,082 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,001 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 253 | 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 | 293.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1259855, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,790,165 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,404,274 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,385,891 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,523,984 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$138,093 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,112 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$131,981 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$131,981 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,287 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 151 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 232.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223142, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 June 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,826,846 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,406,760 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,420,086 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,674,518 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$254,432 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $261 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$254,171 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$254,171 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,078 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 201 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 265.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1256760, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 September 2016
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, reopened, processed by CMS on 27 March 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,511,511 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,436,034 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,075,477 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,086,832 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,011,355 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,269 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,001,086 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,001,086 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,265 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 143 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 497.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 169.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221959, 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 24 May 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,773,823 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,997,996 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,775,827 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,647,007 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$871,180 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $171,409 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$699,771 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$699,771 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,481 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,905 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 290.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157983, 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 20 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,314,393 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,901,010 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,413,383 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,333,812 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $79,571 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $117,166 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $196,737 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $196,737 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,715 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 265 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 139.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108408, 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 9 September 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,266,118 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,084,347 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,181,771 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,171,791 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $9,980 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $131,722 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $141,702 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $141,702 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,816 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 244 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 140.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077748, 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 23 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,780,819 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,827,326 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,953,493 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,096,181 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$142,688 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $152,169 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $9,481 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $9,481 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,260 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 242 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 143.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042838, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 September 2011
Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,058,949 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,092,164 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$33,215 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $136,268 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $103,053 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,193 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 235 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 151.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431641, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 30 September 2010
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 February 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,294,336 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,806,673 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$512,337 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $149,052 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$363,285 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,891 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 320.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 223.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424882, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 30 September 2009
Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 February 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,702,948 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,179,446 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$476,498 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $146,761 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$329,737 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,477 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 132 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 350.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 238.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394641, 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 28 January 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,733,232 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,977,769 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$244,537 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $139,767 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$104,770 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,660 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 150.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 369.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 302.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363135, 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 | $5,821,420 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,013,142 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$191,722 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $104,235 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$87,487 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,706 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 157.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 400.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 330.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327348, 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 | $5,696,128 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,668,206 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $27,922 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $93,948 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $121,870 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,804 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 213.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 375.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 322.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 279463, 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, reopened, processed by CMS on 23 February 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,366,934 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,639,668 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$272,734 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $112,184 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$160,550 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,539 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 189.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 405.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 329.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 273271, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 30 September 2004
Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 1 February 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,301,297 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,503,924 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$202,627 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $88,672 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$113,955 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,488 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 175.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 386.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 319.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242045, 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 19 October 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,207,762 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,216,980 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$9,218 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $86,427 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $77,209 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,012 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 201.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 399.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 333.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 234998, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 30 September 2002
Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,905,451 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,091,669 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$186,218 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $76,410 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$109,808 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,143 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 129.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 428.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 334.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 196447, 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 11 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,572,801 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,534,064 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $38,737 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $83,820 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $122,557 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,845 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 98.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 439.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 341.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 115836, 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 | $4,197,737 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,299,227 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$101,490 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $97,469 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$4,021 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,424 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 197.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 676.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 551.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 124156, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 30 September 1999
Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 August 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,104,254 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,182,376 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$78,122 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $59,844 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$18,278 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,194 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 141.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 696.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 563.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39938, 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 31 August 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,172,580 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,201,173 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$28,593 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,855 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $39,262 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,278 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 166.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 710.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 564.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39936, 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 1 February 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,041,461 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,104,907 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$63,446 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,365 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$3,081 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,025 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 708.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 400.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39934, 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 9 March 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,774,273 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,915,711 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$141,438 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $155,141 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $13,703 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,021 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 81.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 756.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 576.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39932, 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 |
|---|---|---|---|---|
| OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 02/01/2019 |
| ASBILL, DARIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/19/2019 |
| CAPOROSSI, LISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/19/2019 |
| CIBC BANK USA | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/31/2021 |
| CITRIN COOPERMAN ADVISORS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/19/2019 |
| NICOLUZAKIS, GREGORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2019 |
| OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/01/2019 |
| SABER GOVERNANCE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2019 |
| SABER HEALTHCARE GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/19/2019 |
| SHG AUTUMN, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/26/2025 |
| SHG MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2019 |
| SHG MT, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/26/2025 |
| VOLPE, BENJAMIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2019 |
| WALKER & ASSOCIATES PC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2023 |
| WEISBERG, WILLIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/19/2019 |
| VOLPE, BENJAMIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2019 |
| WEISBERG, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2019 |
| NICOLUZAKIS, GREGORY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2019 |
| VOLPE, BENJAMIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2019 |
| WEISBERG, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2019 |
| AUTUMN CORPORATION | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 02/19/2019 |
| BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2023 |
| BNV DYNASTY LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2023 |
| DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2023 |
| SABER HEALTHCARE HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 02/19/2019 |
| SHG AUTUMN, LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 02/19/2019 |
| WIW DYNASTY LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2023 |
| WEISBERG, WILLIAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/26/2025 |
| ASBILL, DARIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/19/2019 |
| SHG MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2019 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of DAVIE NURSING AND REHABILITATION CENTER, LLC (enrollment ID O20190604002501).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 2/1/2019 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| BENJAMIN N VOLPE | 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. | 3/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CIBC BANK USA | 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. | 3/31/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| CITRIN COOPERMAN ADVISORS LLC | 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. | 2/19/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| DARIN ASBILL | 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. | 2/19/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GREGORY NICOLUZAKIS | 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. | 3/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LISA M CAPOROSSI | 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. | 2/19/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P | 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. | 2/1/2019 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| SABER GOVERNANCE LLC | 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. | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SABER HEALTHCARE GROUP LLC | 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. | 2/19/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHG AUTUMN, LLC | 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. | 12/26/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHG MANAGEMENT LLC | 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. | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHG MT, LLC | 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. | 12/26/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| WALKER & ASSOCIATES PC | 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. | 12/18/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILLIAM I WEISBERG | 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. | 2/19/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BENJAMIN N VOLPE | Individual | CORPORATE DIRECTOR | 50 | 3/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WILLIAM I WEISBERG | Individual | CORPORATE DIRECTOR | 50 | 3/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BENJAMIN N VOLPE | Individual | CORPORATE OFFICER | 0 | 3/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GREGORY NICOLUZAKIS | Individual | CORPORATE OFFICER | 0 | 3/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WILLIAM I WEISBERG | Individual | CORPORATE OFFICER | 0 | 3/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| AUTUMN CORPORATION | Organization | DIRECT OWNERSHIP INTEREST | 100 | 2/19/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) | Organization | INDIRECT OWNERSHIP INTEREST | 33 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| BNV DYNASTY LLC | Organization | INDIRECT OWNERSHIP INTEREST | 33 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 | Organization | INDIRECT OWNERSHIP INTEREST | 67 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| SABER HEALTHCARE HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 2/19/2019 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SHG AUTUMN, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 2/19/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| WIW DYNASTY LLC | Organization | INDIRECT OWNERSHIP INTEREST | 67 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| DARIN ASBILL | 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. | 2/19/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHG MANAGEMENT LLC | 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. | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: SABER HEALTHCARE HOLDINGS LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P 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: OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SABER HEALTHCARE HOLDINGS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 February 2026: DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHH HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MELISSA THOMPSON SULLIVAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: AUTUMN CORPORATION no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: WIW DYNASTY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DARIN ASBILL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHG AUTUMN, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: BNV DYNASTY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SABER GOVERNANCE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: WWBV HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SABER HEALTHCARE HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHG MT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: AUTUMN CORPORATION appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CIBC BANK USA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: WALKER & ASSOCIATES PC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: WILLIAM I WEISBERG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: WIW DYNASTY LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LISA M CAPOROSSI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CITRIN COOPERMAN ADVISORS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DARIN ASBILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DARIN ASBILL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHG AUTUMN, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHG AUTUMN, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: BENJAMIN N VOLPE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: BNV DYNASTY LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SABER HEALTHCARE GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SABER GOVERNANCE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHG MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: GREGORY NICOLUZAKIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SABER HEALTHCARE HOLDINGS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 15 September 2023: AMANDA CARSWELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: MELISSA THOMPSON SULLIVAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
Recent changes on this record
- 1 July 2026: SABER HEALTHCARE HOLDINGS LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P 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: OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SABER HEALTHCARE HOLDINGS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: OHI ASSET (NC) MOCKSVILLE -1304 MADISON ROAD, 1.P appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 20 February 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 February 2026: DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHH HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MELISSA THOMPSON SULLIVAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: AUTUMN CORPORATION no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: WIW DYNASTY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DARIN ASBILL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHG AUTUMN, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: BNV DYNASTY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SABER GOVERNANCE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: WWBV HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SABER HEALTHCARE HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHG MT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: AUTUMN CORPORATION appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CIBC BANK USA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: WALKER & ASSOCIATES PC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: WILLIAM I WEISBERG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: WIW DYNASTY LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LISA M CAPOROSSI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CITRIN COOPERMAN ADVISORS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DARIN ASBILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DARIN ASBILL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHG AUTUMN, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHG AUTUMN, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: BENJAMIN N VOLPE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: BNV DYNASTY LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SABER HEALTHCARE GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SABER GOVERNANCE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHG MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: GREGORY NICOLUZAKIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SABER HEALTHCARE HOLDINGS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 14 November 2025 | 9 August 2024 | 3 | 2 |
| 2 | 9 August 2024 | 13 April 2023 | 1 | 2 |
| 3 | 13 April 2023 | 27 January 2022 | 3 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
7 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 14 November 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | 25 November 2025 |
| 14 November 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 25 November 2025 |
| 14 November 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 25 November 2025 |
| 9 August 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 23 August 2024 |
| 17 June 2024 | Health | F 0777 | Administration Deficiencies | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D | Yes | Past Non-Compliance | 11 June 2024 |
| 13 April 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 2 May 2023 |
| 13 April 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. | D | No | Deficient, Provider has date of correction | 2 May 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | DAVIE NURSING AND REHABILITATION CENTER, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1976-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Davie |
| Telephone Number | 3367513535 |
| Chain Name | SABER HEALTHCARE GROUP |
| Chain ID | 461 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 96 |
| Average Number of Residents per Day | 88.9 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on Davie Nursing and Rehabilitation Center: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: SABER HEALTHCARE HOLDINGS LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Davie 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.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 345129.