Skilled nursing facility · CMS certification number 345356
Rich Square Health & Rehabilitation Center
Rich Square, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 69
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 8 May 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,931,484 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,711,549 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,219,935 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,688,517 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $531,418 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,868 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $540,286 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $540,286 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 25,254 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,556 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,818 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,371 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,745 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 47 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 64 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 51 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 231.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449711, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 September 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,735,787 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,678,245 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,057,542 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,811,906 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $245,636 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,008 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $255,644 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $255,644 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,762 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 181 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 217.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440242, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,807,681 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,729,975 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,077,706 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,415,541 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $662,165 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $423,233 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,085,398 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,085,398 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,360 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 167 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 409.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398010, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 October 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,089,264 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,149,501 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,939,763 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,328,621 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $611,142 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,448,029 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,059,171 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,059,171 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,293 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 238 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 201.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366019, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 January 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,758,347 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,029,723 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,728,624 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,431,569 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $297,055 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $716,078 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,013,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,013,133 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,026 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 244.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341173, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,813,467 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,615,652 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,197,815 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,393,218 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $804,597 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $66,404 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $871,001 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $871,001 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,875 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 249 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301286, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,188,543 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,213,269 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,975,274 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,886,277 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $88,997 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $64,458 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $153,455 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $153,455 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,644 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 232 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 278.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274883, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 May 2017 to 31 December 2017 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 June 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,394,246 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,419,619 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,974,627 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,642,569 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $332,058 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,390 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $338,448 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $338,448 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,013 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 365.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1258505, 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 21 September 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,047,584 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,182,645 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,864,939 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,500,665 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $364,274 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $407,128 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $771,402 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $771,402 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,808 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 231 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 284.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1212162, 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 11 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,502,295 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,396,537 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,105,758 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,963,620 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $142,138 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,459 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $151,597 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $151,597 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,313 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 332.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179718, 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 25 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,466,953 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,483,549 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,983,404 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,821,827 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $161,577 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,588 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $172,165 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $172,165 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,538 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 328.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1134540, 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 29 April 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,739,394 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,672,054 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,067,340 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,023,069 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $44,271 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,895 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $58,166 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $58,166 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,425 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 159 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 335.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089373, 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 7 February 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,347,261 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,354,033 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,993,228 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,763,423 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $229,805 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,571 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $248,376 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $248,376 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,839 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 437.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055311, 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 17 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,797,710 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,794,945 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,765 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,249 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $24,014 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,631 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 251.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 164.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434654, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 30 September 2010
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 December 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,405,333 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,824,805 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$419,472 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,801 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$395,671 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,515 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 389.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 217.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 421991, 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 with audit, processed by CMS on 19 July 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,430,749 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,759,773 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$329,024 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,570 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$306,454 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,744 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 199 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 276.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 139.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 411655, 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 2 December 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,116,643 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,466,916 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$350,273 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,961 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$321,312 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,251 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 302 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 146.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 390305, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 30 September 2007
Cost report for 1 November 2006 to 30 September 2007 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on 29 October 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,386,144 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,798,754 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$412,610 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,327 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,381 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$378,664 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,355 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 264.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 215.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327496, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 October 2006
Cost report for 1 October 2006 to 31 October 2006 — a reporting period of 30 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 29 October 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $453,496 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $484,569 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$31,073 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,617 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$23,456 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 3,230 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 49.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 52.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327491, read from the public cost report file SNFFY2007.zip.
Fiscal year 2005, ended 30 September 2005
Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 October 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,763,791 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,812,596 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$48,805 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $111,949 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $63,144 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,349 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 340.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 541.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 563.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264903, 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 31 January 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,577,360 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,635,870 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$58,510 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $84,288 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $25,778 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,248 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 333.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 546.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 610.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241848, 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 24 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,193,881 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,217,225 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$23,344 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $94,063 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $70,719 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,230 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 302.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 587.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 643.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 231582, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,011,597 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,042,510 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$30,913 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $105,012 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $74,099 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,675 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 252.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 598.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 650.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 192756, 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 2 June 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,629,766 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,778,279 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$148,513 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,920 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$49,593 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,315 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 178.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 602.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 693.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 179225, 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 18 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,382,634 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,554,807 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$172,173 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,764 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$73,409 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,145 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 130 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 268.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 354.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41043, 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 27 March 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,272,119 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,413,518 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$141,399 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $103,866 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$37,533 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,991 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 302.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 390.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41041, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 30 September 1998
Cost report for 1 October 1997 to 30 September 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 December 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,317,332 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,347,950 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$30,618 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $61,446 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $30,828 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,274 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 315.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 392.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41039, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 30 September 1997
Cost report for 1 November 1996 to 30 September 1997 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on 30 September 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,742,346 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,717,836 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $24,510 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,977 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $54,487 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,809 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 294.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 351.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41037, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 October 1996
Cost report for 1 October 1995 to 31 October 1996 — a reporting period of 396 days, on form CMS-2540-96, settled, processed by CMS on 27 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,003,247 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,944,991 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $58,256 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,455 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $65,711 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,478 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 3 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 582 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 19,103 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 8,826 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41036, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Ownership Data Not Available | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of RICH SQUARE OPERATIONS LLC (enrollment ID O20170731003327).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| LBS CAPITAL HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20 | 4/3/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| NISSON HIRSCH | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20 | 5/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RSH 1 LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17.5 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| RSH 2 LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17.5 | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| YAAKOV WEITMAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 5/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| YISROEL BORNSTEIN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20 | 5/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DANISHA LYLES | 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. | 9/17/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LBS CAPITAL HOLDINGS LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/3/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| MAXIMUS HEALTHCARE GROUP | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/16/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| NISSON HIRSCH | 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. | 5/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RSH 1 LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| RSH 2 LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| YAAKOV WEITMAN | 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. | 5/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| YISROEL BORNSTEIN | 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. | 5/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 9/16/2025 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 5/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| NISSON HIRSCH | Individual | CORPORATE OFFICER | 33 | 5/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| YISROEL BORNSTEIN | Individual | CORPORATE OFFICER | 33 | 5/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DANISHA LYLES | 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. | 3/25/2025 | 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. |
| MAXIMUS HEALTHCARE GROUP | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/28/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 December 2025: YISROEL BORNSTEIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FREDA WRIGHT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NISSON HIRSCH no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: VERONICA SLADE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: HENRY STEINMETZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: LBS CAPITAL HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: LBS CAPITAL HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: RSH 1 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: YAAKOV WEITMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MAXIMUS HEALTHCARE GROUP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MAXIMUS HEALTHCARE GROUP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: YISROEL BORNSTEIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NISSON HIRSCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: RSH 2 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DANISHA LYLES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DANISHA LYLES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 February 2025: HENRY STEINMETZ appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 January 2025: HENRY STEINMETZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- 5 January 2024: HENRY STEINMETZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: HENRY STEINMETZ no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
Recent changes on this record
- 8 May 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 December 2025: YISROEL BORNSTEIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FREDA WRIGHT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NISSON HIRSCH no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: VERONICA SLADE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: HENRY STEINMETZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: LBS CAPITAL HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: LBS CAPITAL HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: RSH 1 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: YAAKOV WEITMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MAXIMUS HEALTHCARE GROUP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MAXIMUS HEALTHCARE GROUP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: YISROEL BORNSTEIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NISSON HIRSCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: RSH 2 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DANISHA LYLES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DANISHA LYLES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 26 September 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 February 2025: HENRY STEINMETZ appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 January 2025: HENRY STEINMETZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- 25 October 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 5 January 2024: HENRY STEINMETZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: HENRY STEINMETZ no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 11 October 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 27 January 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 28 September 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 3 December 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 19 June 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 12 June 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 21 September 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 11 December 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 25 July 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 29 April 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 7 February 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 17 May 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- 16 December 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 19 July 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 2 December 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 29 October 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 2 July 2025 | 6 June 2024 | 10 | 4 |
| 2 | 6 June 2024 | 23 February 2023 | 6 | 2 |
| 3 | 23 February 2023 | 11 January 2022 | 11 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
27 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 2 July 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 21 July 2025 |
| 2 July 2025 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 21 July 2025 |
| 2 July 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | No | Deficient, Provider has date of correction | 21 July 2025 |
| 2 July 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 21 July 2025 |
| 2 July 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 21 July 2025 |
| 2 July 2025 | 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 | 21 July 2025 |
| 2 July 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 21 July 2025 |
| 2 July 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 21 July 2025 |
| 2 July 2025 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | No | Deficient, Provider has date of correction | 21 July 2025 |
| 2 July 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 21 July 2025 |
| 6 June 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | No | Deficient, Provider has plan of correction | 1 July 2024 |
| 6 June 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | No | Deficient, Provider has plan of correction | 1 July 2024 |
| 6 June 2024 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | 1 July 2024 |
| 6 June 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 1 July 2024 |
| 6 June 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 1 July 2024 |
| 6 June 2024 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | No | Deficient, Provider has date of correction | 1 July 2024 |
| 28 December 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Yes | Deficient, Provider has date of correction | 26 January 2024 |
| 28 December 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Yes | Deficient, Provider has date of correction | 26 January 2024 |
| 28 December 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Yes | Deficient, Provider has date of correction | 26 January 2024 |
| 28 December 2023 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | K | Yes | Deficient, Provider has date of correction | 26 January 2024 |
| 28 December 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | K | Yes | Deficient, Provider has date of correction | 26 January 2024 |
| 28 December 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | K | Yes | Deficient, Provider has date of correction | 26 January 2024 |
| 28 December 2023 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Yes | Deficient, Provider has date of correction | 26 January 2024 |
| 28 December 2023 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Yes | Deficient, Provider has date of correction | 26 January 2024 |
| 21 November 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Yes | Deficient, Provider has date of correction | 28 December 2023 |
| 23 February 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | B | No | Deficient, Provider has plan of correction | 17 March 2023 |
| 23 February 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 17 March 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 21 November 2023 | Fine | $190,684 | 42204 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | Legal Business Name Not Available |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-02-19 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Northampton |
| Telephone Number | 2525394161 |
| 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 | 69 |
| Average Number of Residents per Day | 66.2 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 2 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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The citable document for Rich Square Health & Rehabilitation Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in North Carolina at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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