Skilled nursing facility · CMS certification number 345152

Trinity Village

Hickory, North Carolina · Medicare and Medicaid

Certified beds, as filed in Care Compare: 104

Finances, as filed

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

Cost report for 1 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 31 December 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$25,989,074	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,170,558	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,818,516	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,814,867	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$996,351	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,051,122	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$54,771	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $54,771 (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%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	71,004	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,916	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	18,460	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	38,911	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	61,287	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	109	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	39	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	213	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	361	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	473.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	169.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445848, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 January 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$24,982,142	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,071,671	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,910,471	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,170,426	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,259,955	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$820,221	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$439,734	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$439,734 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	60,614	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	365	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	292.91	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	166.07	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1402806, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$20,995,537	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,148,560	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,846,977	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,328,947	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$481,970	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,452,530	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,970,560	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,970,560 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	61,303	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	354	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.51	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	423.18	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	173.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376473, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$17,727,865	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,252,893	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,474,972	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,772,959	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,297,987	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,759,382	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$461,395	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $461,395 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	54,096	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	378	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	294.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	143.11	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358504, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 September 2020

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$19,976,261	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,837,161	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,139,100	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,785,901	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$646,801	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$833,798	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$186,997	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $186,997 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	61,884	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	369	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	430.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	167.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328915, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 September 2019

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$20,577,778	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,800,692	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,777,086	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,968,396	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$191,310	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$310,478	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$119,168	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $119,168 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	65,696	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	441	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	545.97	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	148.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254321, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 30 September 2018

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 September 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$19,978,156	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,474,921	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,503,235	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,944,808	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$441,573	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$394,908	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$46,665	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$46,665 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	64,292	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	460	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	499.34	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	139.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1268437, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 30 September 2017

Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 August 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$20,232,678	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,442,279	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,790,399	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,878,720	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$88,321	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$414,418	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$326,097	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $326,097 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	66,786	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	405	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	502.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	164.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240607, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 30 September 2016

Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$18,544,051	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,884,914	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,659,137	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,123,784	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$464,647	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$276,074	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$188,573	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$188,573 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	65,757	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	508	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	465.98	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	129.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200476, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 30 September 2015

Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 May 2018.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$17,706,945	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,858,419	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,848,526	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,773,283	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$75,243	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$203,974	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$279,217	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $279,217 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	63,383	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	407	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.49	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	603.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	155.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1189291, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 30 September 2014

Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 October 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$16,824,341	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,277,609	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,546,732	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,487,673	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$59,059	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$300,509	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$359,568	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $359,568 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	51,691	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	445	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	530.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	116.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1112000, 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 20 May 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$17,244,752	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,135,108	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,109,644	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,686,840	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$422,804	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$280,328	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$703,132	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $703,132 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	61,199	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	472	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	538.03	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	129.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1090976, 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 22 November 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$17,267,571	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,865,169	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,402,402	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,754,365	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$648,037	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$126,802	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$774,839	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $774,839 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,526	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	425	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	737.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	147.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1051012, 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 2 November 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$12,716,711	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,664,262	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,052,449	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$187,005	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,239,454 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	61,666	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	411	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.04	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	429.64	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	150.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433573, 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 14 February 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$11,537,757	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,007,382	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$530,375	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$295,130	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $825,505 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	204	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	61,134	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	311	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.15	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	407.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	196.57	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424629, 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 20 April 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$10,806,635	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,542,323	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$264,312	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$238,764	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $503,076 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	204	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	61,591	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	258	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.95	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	568.43	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	238.72	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 397730, 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 14 April 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$10,109,762	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,422,485	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$312,723	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$361,945	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $49,222 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	204	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	62,528	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	200	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.74	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	936.85	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	312.64	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 336849, 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 15 October 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$10,165,925	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,337,691	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$171,766	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$287,867	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $116,101 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	204	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	64,509	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	219	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.68	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	809.95	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	294.56	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 326642, 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 13 September 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$10,169,423	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,626,037	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$456,614	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$431,813	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$19,623	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$44,424 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	204	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	67,305	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	196	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,045.22	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	343.39	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 293463, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 30 September 2005

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

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$10,141,526	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,381,585	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$240,059	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$329,556	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $89,497 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	204	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	68,888	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	177	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,727.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	389.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 264147, 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 17 February 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$9,304,470	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,929,050	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$624,580	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$247,350	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$377,230 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	204	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	68,735	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	184	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	774.57	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	373.56	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 243206, 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 26 September 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$9,068,032	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,300,917	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$232,885	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$474,249	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$4,000	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $237,364 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	204	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	68,927	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	142	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.17	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	741.08	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	485.4	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 233752, 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 19 January 2005.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$8,534,638	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,973,972	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$439,334	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$261,964	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$177,370 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	204	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	68,621	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	223	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	312.03	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	307.72	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 204054, 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, settled, processed by CMS on 13 February 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$6,835,625	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,689,917	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$854,292	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$647,208	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$35,329	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$242,413 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	173	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	55,903	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	83	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	82.48	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,006.75	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	673.53	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 129958, 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 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$5,631,743	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,175,685	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$543,942	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$162,113	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$551,423	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$933,252 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	138	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	45,337	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	69.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	453.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	477.23	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 40062, 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 12 September 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$5,585,263	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,570,701	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$14,562	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$394,949	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $409,511 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	138	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	49,110	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	116	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	88.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	468.43	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	423.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 40060, 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, reopened, processed by CMS on 27 March 2001.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$5,336,846	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,406,004	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$69,158	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$299,673	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $230,515 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	140	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	49,819	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	110	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	101.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	583.47	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	452.9	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 40057, 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.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$5,171,820	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,063,483	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$108,337	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$312,049	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $420,386 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	140	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	50,790	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	79	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	83.14	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,297.06	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	642.91	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 40055, 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 27 October 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$4,890,366	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,926,755	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$36,389	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$546,423	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $510,034 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	143	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	50,957	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	104	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	124.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	614.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	489.97	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 40053, read from the public cost report file SNFFY1996.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
DESANTIS, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/03/1995
HENDREN, KENDRA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2024
LSA MANAGEMENT, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2025
LUTHERAN HOME HICKORY WEST PROPERTY, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2025
NICKERSON, KIRBY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2012
SMITH, KESHA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2012
SMITH, KESHA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2012
MADDRY, KAREN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/30/2007
NELSON, DOUGLAS	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 09/01/2022
NICKERSON, KIRBY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2012
GOINS, TED	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2004
HERMAN, RICHARD	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 06/01/2021
MADDRY, KAREN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/30/2007
DESANTIS, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/03/1995
GOINS, TED	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2004
HENDREN, KENDRA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2024
LSA MANAGEMENT, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2004
LUTHERAN HOME HICKORY WEST PROPERTY, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2004
LUTHERAN SERVICES FOR THE AGING, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2004
NELSON, DOUGLAS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/01/2022
NICKERSON, KIRBY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2012
SMITH, KESHA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2012
GOINS, TED	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2004
HERMAN, RICHARD	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2021
LUTHERAN SERVICES FOR THE AGING, INC.	TRUSTEE OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2004
NELSON, DOUGLAS	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 09/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LUTHERAN HOME-HICKORY, INC. (enrollment ID O20041104000859).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
KENDRA HENDREN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KESHA L SMITH	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KIRBY NICKERSON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LSA MANAGEMENT, INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
LUTHERAN HOME HICKORY WEST PROPERTY, INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
MICHAEL C DESANTIS	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.	7/3/1995	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KESHA L SMITH	Individual	CORPORATE DIRECTOR	0	10/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DOUGLAS E NELSON	Individual	CORPORATE OFFICER	0	9/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KAREN MADDRY	Individual	CORPORATE OFFICER	0	4/30/2007	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KIRBY NICKERSON	Individual	CORPORATE OFFICER	0	10/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KAREN MADDRY	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/30/2007	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RICHARD HERMAN	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TED W GOINS	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2004	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DOUGLAS E NELSON	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.	9/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KENDRA HENDREN	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.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KESHA L SMITH	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KIRBY NICKERSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LSA MANAGEMENT, INC.	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2004	Private equity company: No Real estate investment trust: No Holding company: No
LUTHERAN HOME HICKORY WEST PROPERTY, INC.	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2004	Private equity company: No Real estate investment trust: No Holding company: No
LUTHERAN SERVICES FOR THE AGING, INC.	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2004	Private equity company: No Real estate investment trust: No Holding company: No
MICHAEL C DESANTIS	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.	7/3/1995	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TED W GOINS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2004	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DOUGLAS E NELSON	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LUTHERAN SERVICES FOR THE AGING, INC.	Organization	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2004	Private equity company: No Real estate investment trust: No Holding company: No
RICHARD HERMAN	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TED W GOINS	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2004	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: KESHA L SMITH no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 June 2025: LUTHERAN SERVICES FOR THE AGING, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: BETTY LOHR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ERIC HOYLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MARCHETA CAMPBELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LSA MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KIRBY NICKERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KIRBY NICKERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KENDRA HENDREN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KENDRA HENDREN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN SERVICES FOR THE AGING, INC. appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN SERVICES FOR THE AGING, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KAREN MADDRY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DOUGLAS E NELSON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DOUGLAS E NELSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DOUGLAS E NELSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MICHAEL C DESANTIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MICHAEL C DESANTIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RICHARD HERMAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RICHARD HERMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv

Recent changes on this record

1 July 2026: KESHA L SMITH no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
31 December 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 June 2025: LUTHERAN SERVICES FOR THE AGING, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: BETTY LOHR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ERIC HOYLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MARCHETA CAMPBELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LSA MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KIRBY NICKERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KIRBY NICKERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KENDRA HENDREN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KENDRA HENDREN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN SERVICES FOR THE AGING, INC. appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN SERVICES FOR THE AGING, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KAREN MADDRY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DOUGLAS E NELSON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DOUGLAS E NELSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DOUGLAS E NELSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MICHAEL C DESANTIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MICHAEL C DESANTIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TED W GOINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RICHARD HERMAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RICHARD HERMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KESHA L SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
28 January 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
17 April 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
14 July 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
4 August 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	11 March 2026	15 January 2025	3	2
2	15 January 2025	31 October 2023	0	3
3	31 October 2023	28 April 2022	2	4

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

Deficiencies cited

5 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
11 March 2026	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	1 April 2026
11 March 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	3 April 2026
11 March 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	1 April 2026
23 April 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	Yes	Past Non-Compliance	3 January 2024
23 April 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Past Non-Compliance	3 January 2024

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
23 April 2024	Fine	$8,512			42350

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	LUTHERAN HOME-HICKORY, INC.
Date First Approved to Provide Medicare and Medicaid Services	1976-07-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Catawba
Telephone Number	8283282006
Chain Name	LUTHERAN SERVICES CAROLINAS
Chain ID	327
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	104
Average Number of Residents per Day	97.5
Overall Rating	5
Health Inspection Rating	4
QM Rating	3
Long-Stay QM Rating	2
Short-Stay QM Rating	3
Processing Date	2026-08-01

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

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

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

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

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The citable document for Trinity Village

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in North Carolina at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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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 345152.