Velarion Records

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Skilled nursing facility · CMS certification number 345171

White Oak Manor-Shelby

Shelby, North Carolina · Medicare and Medicaid

Certified beds, as filed in Care Compare: 160

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 31 July 2024 — a reporting period of 304 days, on form CMS-2540-10, as submitted, processed by CMS on 16 June 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$11,462,899CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,213,544CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,249,355CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,816,791CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$432,564CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$382CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$432,182CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $432,182 (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
FigureAs filedWhere it comes from
Total facility beds, all components141CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,005CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,402CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days18,880CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days7,455CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components28,737CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges90CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges40CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges134CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components264CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days472CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days108.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450407, 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 9 February 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$14,330,282CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,514,808CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,815,474CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,120,501CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$694,973CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$694,973CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $694,973 (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
FigureAs filedWhere it comes from
Total facility beds, all components141CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,941CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components332CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.24CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days411.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days117.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1373238, 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 20 February 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$12,989,960CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,373,024CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,616,936CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,175,551CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$558,615CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$128CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$558,743CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$558,743 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,447CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components303CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days406.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days116.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342756, 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 18 February 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$11,698,483CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,335,720CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,362,763CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,408,933CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,046,170CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,126,977CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$80,807CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $80,807 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,921CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components131CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days103CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days576.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days236.04CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1310600, 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 25 August 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$13,677,535CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,971,858CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,705,677CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,111,127CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$594,550CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$2,030CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$592,520CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $592,520 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components43,400CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components348CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.15CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days562.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days124.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330620, 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 13 August 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$12,211,355CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,998,742CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,212,613CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,077,390CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$864,777CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$1,415CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$866,192CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$866,192 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components43,489CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components368CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.74CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days540.02CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days118.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1293685, 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 11 August 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$13,478,875CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,986,070CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,492,805CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,995,222CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$502,417CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,047CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$501,370CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$501,370 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components49,244CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components379CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days518.77CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days129.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1263201, 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 March 2020.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$13,246,932CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,120,010CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,126,922CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,732,158CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$605,236CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$2,888CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$608,124CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$608,124 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,005CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components346CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days504.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days144.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252447, 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 23 August 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$11,127,733CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,828,275CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,299,458CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,575,909CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,276,451CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$33,453CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,242,998CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,242,998 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,024CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components306CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days457.04CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days147.14CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210296, 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 2 May 2018.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$8,208,183CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$949,724CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,258,459CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,111,024CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,852,565CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$4,256CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,856,821CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,856,821 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,883CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components197CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days450.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days202.45CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188265, 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 30 September 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$10,326,002CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,347,436CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,978,566CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,686,339CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$707,773CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$460CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$707,313CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$707,313 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,196CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components266CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days345.11CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days188.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1143619, 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 August 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$10,963,890CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,381,508CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,582,382CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,813,624CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$231,242CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$6,499CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$237,741CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$237,741 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,709CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components310CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days409.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days163.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108430, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 September 2012

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

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$10,911,060CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,093,356CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,817,704CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,698,526CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$119,178CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$660CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$119,838CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $119,838 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components54,674CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components251CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days478.53CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days217.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1058199, 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
FigureAs filedWhere it comes from
Net patient revenue$9,823,815CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,721,183CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$102,632CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$770CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $103,402 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components54,364CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components253CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days501.06CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days214.88CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433575, 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 3 February 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$9,609,622CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,643,293CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$33,671CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$900CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$32,771 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components55,316CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components266CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days46.72CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days354.56CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days207.95CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424391, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 September 2009

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

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$9,703,154CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,430,608CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$272,546CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$3,970CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $268,576 (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
FigureAs filedWhere it comes from
Total patient days, all components56,215CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components311CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28.64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days453.68CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days180.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 395504, 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 10 March 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$8,888,767CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,812,344CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$76,423CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$640CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $77,063 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,458CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components313CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days27.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days473.34CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days180.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 365185, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 30 September 2007

Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 October 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$8,719,285CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,493,969CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$225,316CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,100CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $226,416 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components55,343CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components442CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.6CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days327.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days125.21CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 327353, 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 25 July 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$8,489,087CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,395,920CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$93,167CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,040CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $94,207 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,296CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components453CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.58CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days300.31CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days124.27CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 288743, 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 14 November 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$8,243,059CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,900,222CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$342,837CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,380CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $344,217 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,827CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components378CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days329.09CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days150.34CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 266325, 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 8 February 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$7,763,230CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,418,802CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$344,428CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,200CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $345,628 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,266CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components357CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.76CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days316.11CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days157.61CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 242577, 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 25 April 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$7,149,797CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,776,673CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$373,124CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$860CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $373,984 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,404CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components461CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.46CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days259.49CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days122.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 214968, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 30 September 2002

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

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$6,712,775CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,735,331CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$22,556CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$644CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$21,912 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components55,548CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components420CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days262.72CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days132.26CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 192753, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 30 September 2001

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

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$6,580,209CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,107,525CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$472,684CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$599CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $473,283 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,715CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components392CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.6CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days277.43CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days144.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 121943, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 30 September 2000

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

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$6,377,597CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,744,797CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$632,800CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$700CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $633,500 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,523CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components422CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.66CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days231.74CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days133.94CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 124394, 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 19 September 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$6,380,778CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,524,885CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$855,893CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$810CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $856,703 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,319CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components385CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days275.78CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days146.28CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 40150, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 30 September 1998

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

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$6,089,348CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,504,687CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$584,661CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,000CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$84CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $585,577 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components57,255CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components352CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.55CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days282.49CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days162.66CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 40148, 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 18 May 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$5,717,763CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,242,654CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$475,109CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,958CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $477,067 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components57,573CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components326CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.43CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days280.97CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days176.6CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 40146, 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, reopened, processed by CMS on 9 June 1999.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$5,387,347CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,994,697CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$392,650CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,354CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $395,004 (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
FigureAs filedWhere it comes from
Total facility beds, all components160CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components57,405CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components330CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days276.59CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days173.95CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 40143, 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 managerRoleTypeOwnership percentageAssociation
BLACKROCK INCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2024
CLARK, KEVINADP OF THE SNFIndividualNOT APPLICABLEsince 01/29/2026
FORSEY, GREGORYADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2024
KIDD, BRIANADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2024
LOMBARDO, CRYSTALADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2024
FLATT, STEPHENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/21/2005
PIERCEY, LISACORPORATE DIRECTORIndividualNOT APPLICABLEsince 11/06/2025
FLATT, BENCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/02/2017
KIDD, BRIANCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/31/2023
MCCREARY, JOSHCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/15/2019
ABERNATHY, JAMESINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/01/2024
ADAMS, ROBERTINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/01/2024
ADAMS, WILLIAMINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/01/2024
FLATT, BENINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/01/2024
FLATT, STEPHENINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/01/2024
HASSAN, EMILINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/01/2024
KIDD, BRIANINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/01/2024
LAROCHE, RICHARDINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/13/1998
MCCREARY, JOSHINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/01/2024
MORGAN STANLEY INSTITUTIONAL ADVISORS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 11/08/2024
TRAIL, SANDRAINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/01/2024
FLATT, STEPHENINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 02/07/2026
ADAMS, ROBERTMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/13/1998
CLARK, KEVINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2024
FLATT, STEPHENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2024
FORSEY, GREGORYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2024
HIGBY, MICHELLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2024
KIDD, BRIANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2024
LOMBARDO, CRYSTALOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NHC HEALTHCARE/SHELBY, LLC (enrollment ID O20241113004109).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
NHC-OP LPOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
BLACKROCK INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST12.78/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
NATIONAL HEALTH CORPORATIONOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
NATIONAL HEALTHCARE CORPORATIONOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
BLACKROCK INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
BRIAN KIDDIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
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.
CRYSTAL C LOMBARDOIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
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.
GREGORY FORSEYIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
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.
KEVIN RICHARD CLARKIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/29/2026
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LISA M PIERCEYIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/6/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEPHEN FLATTIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2005
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.
BEN FLATTIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/2/2017
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRIAN KIDDIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/31/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOSH A MCCREARYIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/15/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BEN FLATTIndividualINDIRECT OWNERSHIP INTEREST0.168/1/2024
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.
BRIAN KIDDIndividualINDIRECT OWNERSHIP INTEREST0.228/1/2024
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.
EMIL HASSANIndividualINDIRECT OWNERSHIP INTEREST0.78/1/2024
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.
JAMES ABERNATHYIndividualINDIRECT OWNERSHIP INTEREST0.398/1/2024
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.
JOSH A MCCREARYIndividualINDIRECT OWNERSHIP INTEREST0.128/1/2024
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.
MORGAN STANLEY INSTITUTIONAL ADVISORS LLCOrganizationINDIRECT OWNERSHIP INTEREST4.911/8/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
RICHARD LAROCHEIndividualINDIRECT OWNERSHIP INTEREST2.51/13/1998
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT G ADAMSIndividualINDIRECT OWNERSHIP INTEREST38/1/2024
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.
SANDRA Y TRAILIndividualINDIRECT OWNERSHIP INTEREST0.148/1/2024
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.
STEPHEN FLATTIndividualINDIRECT OWNERSHIP INTEREST0.468/1/2024
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.
WILLIAM ANDREW ADAMSIndividualINDIRECT OWNERSHIP INTEREST4.78/1/2024
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.
ROBERT G ADAMSIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/13/1998
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.
BRIAN KIDDIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
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.
CRYSTAL C LOMBARDOIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
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.
GREGORY FORSEYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
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.
KEVIN RICHARD CLARKIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
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.
MICHELLE HIGBYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
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.
STEPHEN FLATTIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
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.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
128 August 202523 May 202435
223 May 202428 February 2023125
328 February 20232 July 202131

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

Deficiencies cited

18 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
12 March 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesPast Non-Compliance
28 August 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correction17 September 2025
28 August 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction17 September 2025
23 July 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction28 August 2025
23 July 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction28 August 2025
21 October 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction15 November 2024
21 October 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FYesDeficient, Provider has date of correction15 November 2024
21 October 2024HealthF 0882Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FYesDeficient, Provider has date of correction15 November 2024
23 May 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction21 June 2024
23 May 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction21 June 2024
23 May 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction21 June 2024
23 May 2024HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.ENoDeficient, Provider has date of correction21 June 2024
23 May 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction21 June 2024
23 May 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correction21 June 2024
23 May 2024HealthF 0809Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.ENoDeficient, Provider has date of correction21 June 2024
28 February 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JNoDeficient, Provider has date of correction24 March 2023
28 February 2023HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.JNoDeficient, Provider has date of correction24 March 2023
28 February 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction24 March 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
12 March 2026Fine$10,868137806
23 July 2025Fine$11,700134568
23 July 2025Fine$3,931135866
23 July 2025Fine$3,931135867
23 July 2025Payment Denial14 August 202534
23 May 2024Fine$12,54242389

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameNHC HEALTHCARE/SHELBY, LLC
Date First Approved to Provide Medicare and Medicaid Services1977-10-26
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishCleveland
Telephone Number7044827326
Chain NameNATIONAL HEALTHCARE CORPORATION
Chain ID364
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds160
Average Number of Residents per Day112.4
Overall Rating2
Health Inspection Rating2
QM Rating3
Long-Stay QM Rating4
Short-Stay QM Rating2
Processing Date2026-08-01

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

Get an email when this record changes

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On 1 July 2026: LISA M PIERCEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for White Oak Manor-Shelby

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 345171.