Velarion Records

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Skilled nursing facility · CMS certification number 345388

Crown Haven Health and Rehabilitation

Charlotte, North Carolina · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

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 2025 to 31 May 2025 — a reporting period of 150 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 December 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$5,144,225CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$774,394CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,369,831CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,835,219CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$534,612CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,955CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$547,567CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $547,567 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components18,120CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days69CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days12,125CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days582CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components12,776CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges1CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges35CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges33CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components69CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days346.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days185.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445552, read from the public cost report file SNF10FY2025.zip.

Fiscal year 2024, ended 31 December 2024

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 25 December 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$12,656,412CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,554,960CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,101,452CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,728,454CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,372,998CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,654CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,378,652CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,378,652 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,335CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components175CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.21CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days337.27CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days190.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445685, 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 8 January 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$12,988,183CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,257,018CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,731,165CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,845,884CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$885,281CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$56,217CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$941,498CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $941,498 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,704CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components237CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days300.11CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days150.65CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1401993, 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 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$11,783,453CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,014,257CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,769,196CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,344,312CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,424,884CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$42,356CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,467,240CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,467,240 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,384CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components196CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.97CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days315.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days155.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359793, 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 16 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$10,068,551CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$148,527CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,920,024CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,547,221CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,372,803CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$444,750CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,817,553CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,817,553 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,569CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components186CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.87CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days355.61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days158.97CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332259, 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 4 May 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$10,441,850CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$281,962CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,159,888CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,894,982CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,264,906CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$555,382CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,820,288CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,820,288 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,867CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components150CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days401.32CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days219.11CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1315315, 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 25 May 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$11,127,654CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,979,825CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,147,829CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,711,789CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$436,040CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,233CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$454,273CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $454,273 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,241CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components221CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days340.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days173.04CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1284612, 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 5 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$10,921,812CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,531,145CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,390,667CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,105,266CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,285,401CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$385CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,285,786CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,285,786 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,856CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components220CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days319.96CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days172.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239583, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 July 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$9,865,280CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,101,620CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,763,660CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,806,559CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$42,899CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$659CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$42,240CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$42,240 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,874CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components184CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days301.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days200.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1203552, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$9,322,816CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,079,212CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,243,604CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,015,158CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,228,446CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$1,750CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,226,696CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,226,696 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,993CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components217CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days268.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days175.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1168461, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$9,859,201CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,889,522CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,969,679CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,158,874CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$189,195CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,457CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$184,738CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$184,738 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,047CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components254CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days264.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days165.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1135871, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$9,452,963CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,451,122CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,001,841CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,596,120CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$594,279CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$8,497CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$602,776CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$602,776 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,117CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components144CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days88.59CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days465.64CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days292.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1103721, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 July 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$9,681,229CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,299,082CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,382,147CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,790,986CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$408,839CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,123CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$403,716CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$403,718 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,339CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components313CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days61.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days204.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days132.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1074443, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 May 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$8,962,154CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,004,068CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,958,086CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,437,722CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$479,636CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$675CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$478,961CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$478,961 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,138CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components324CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days205.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days117.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1030282, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 May 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$8,340,719CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,134,220CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,206,499CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,773,732CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$567,233CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,029CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$566,204CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$566,208 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,559CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components238CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days236.44CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days149.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1029596, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 May 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$7,707,963CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,666,762CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$958,799CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,061CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$1CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$956,737 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,453CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components337CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days60.44CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days145.28CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days117.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 429194, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 May 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$7,829,382CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,369,534CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$540,152CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,110CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$537,043 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,980CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components323CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days46.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days183.27CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days123.78CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 399137, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 January 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$8,197,927CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,399,192CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$201,265CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$72,015CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$273,280 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components41,355CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components318CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days228.93CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days130.05CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 362961, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$7,838,287CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,114,211CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$275,924CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,351CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$267,573 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,803CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components346CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days48.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days204.97CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days123.71CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 333485, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 May 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$8,003,122CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,157,805CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$154,683CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$121CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$154,562 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,364CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components337CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days48.48CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days230.79CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days131.64CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 309996, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 March 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$7,484,866CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,807,083CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$322,217CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$945CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$321,272 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,042CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components272CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days56.98CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days311.18CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days161.92CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 274047, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 August 2004 to 31 December 2004 — a reporting period of 152 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 9 February 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,150,257CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,164,833CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$14,576CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$14,576 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,915CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components105CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days66.19CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days311.09CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days180.14CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 242631, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 2 March 2011.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$6,407,037CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,475,779CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$68,742CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$745CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$67,997 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components43,399CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components244CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.43CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days340.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days177.86CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 394874, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 October 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$6,647,226CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,629,093CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$18,133CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$784CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $18,917 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,093CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components180CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days97.08CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days335.29CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days250.52CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 197130, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 September 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$6,067,038CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,715,957CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$648,919CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,311CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$647,608 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,587CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components202CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days52.23CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days440.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days220.73CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 160877, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 15 October 2004.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$6,282,136CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,170,196CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$111,940CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$108,824CMS-2540-96 worksheet G300000 line 2600 column 100

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

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components41,860CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components245CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.52CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days170.86CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 197209, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 October 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$5,881,391CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,814,416CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$66,975CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$5,171CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $61,804 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,817CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components185CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.24CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days247.66CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 15606, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 5 June 2008.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$6,279,517CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,872,926CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$406,591CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$3,298CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $403,293 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,371CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components147CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days74.88CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days301.84CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 311694, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 17 April 2006.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$5,725,950CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,803,416CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$77,466CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$7,873CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$85,339 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,047CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components40,163CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days1.06CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days1.1CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 247406, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 9 September 1999.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$4,566,446CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,169,945CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$603,499CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$938CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$602,561 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,044CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components157CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days58.34CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days267.8CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 15599, read from the public cost report file SNFFY1996.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
CHAIK-OUGHLI, MAHERADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025
GHANNAM, WASEEMADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025
HOBACK, TIFFANYADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025
JONES, TEQUILLAADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025
RAINEY, MARNITAADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025
SEMONES, BRANDIADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025
SNF MGR LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/14/2025
LOTTENC PARENTCO LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/01/2025
NCOP HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/01/2025
NU C II IRREVOCABLE TRUSTINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/01/2025
NU C IRREVOCABLE TRUSTINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/01/2025
SNF CARE CENTERS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/01/2025
STH HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/01/2025
ZENITH HOLDCO II LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/01/2025
ZENITH HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/01/2025
HOBACK, TIFFANYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2025
SEMONES, BRANDIMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2025
CHAIK-OUGHLI, MAHEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
GHANNAM, WASEEMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
HOBACK, TIFFANYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
JONES, TEQUILLAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
RAINEY, MARNITAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
SEMONES, BRANDIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
SNF MGR LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of 620 TOM HUNTER ROAD OPCO LLC (enrollment ID O20250804000650).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
BRANDI H SEMONESIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.
MAHER CHAIK-OUGHLIIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.
MARNITA RAINEYIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.
SNF MGR LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/14/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
TEQUILLA JONESIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.
TIFFANY HOBACKIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.
WASEEM GHANNAMIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/14/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/24/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/14/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/15/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
LOTTENC PARENTCO LLCOrganizationDIRECT OWNERSHIP INTEREST1006/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
NCOP HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTEREST1006/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
NU C II IRREVOCABLE TRUSTOrganizationINDIRECT OWNERSHIP INTEREST506/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
NU C IRREVOCABLE TRUSTOrganizationINDIRECT OWNERSHIP INTEREST506/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
SNF CARE CENTERS LLCOrganizationINDIRECT OWNERSHIP INTEREST1006/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
STH HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTEREST1006/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ZENITH HOLDCO II LLCOrganizationINDIRECT OWNERSHIP INTEREST1006/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ZENITH HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTEREST1006/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
BRANDI H SEMONESIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.
TIFFANY HOBACKIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.
BRANDI H SEMONESIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.
MAHER CHAIK-OUGHLIIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.
MARNITA RAINEYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.
SNF MGR LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
TEQUILLA JONESIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.
TIFFANY HOBACKIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.
WASEEM GHANNAMIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2025
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.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
13 July 202512 February 2024612
212 February 202415 July 2022195
315 July 202231 August 2021191

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

Deficiencies cited

44 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
3 July 2025HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correction30 July 2025
3 July 2025HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correction30 July 2025
3 July 2025HealthF 0627Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.JNoDeficient, Provider has date of correction30 July 2025
3 July 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction30 July 2025
3 July 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction30 July 2025
3 July 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction30 July 2025
23 September 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DYesDeficient, Provider has date of correction22 October 2024
23 September 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction22 October 2024
9 August 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correction23 September 2024
9 August 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DYesDeficient, Provider has date of correction22 October 2024
2 July 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction9 August 2024
2 July 2024HealthF 0584Resident Rights DeficienciesHonor 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.DYesDeficient, Provider has date of correction9 August 2024
2 July 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction9 August 2024
2 July 2024HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DYesDeficient, Provider has date of correction9 August 2024
2 July 2024HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DYesDeficient, Provider has date of correction9 August 2024
2 July 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correction9 August 2024
2 July 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction9 August 2024
12 February 2024HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.ENoDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0685Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.DNoDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0688Quality of Life and Care DeficienciesProvide 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.DNoDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.ENoDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0808Nutrition and Dietary DeficienciesEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DNoDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0809Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.ENoDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FNoDeficient, Provider has date of correction11 March 2024
12 February 2024HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.ENoDeficient, Provider has date of correction11 March 2024
13 December 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JYesPast Non-Compliance29 September 2023
13 December 2023HealthF 0620Resident Rights DeficienciesNot require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.JYesPast Non-Compliance29 September 2023
13 December 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.JYesPast Non-Compliance29 September 2023
13 December 2023HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DYesDeficient, Provider has date of correction14 December 2023
13 December 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction14 December 2023
11 September 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GYesDeficient, Provider has date of correction19 September 2023
15 July 2022HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.BNoDeficient, Provider has date of correction24 August 2022
15 July 2022HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction24 August 2022
15 July 2022HealthF 0688Quality of Life and Care DeficienciesProvide 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.ENoDeficient, Provider has date of correction24 August 2022
15 July 2022HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correction24 August 2022
15 July 2022HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction24 August 2022
15 July 2022HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.DNoDeficient, Provider has date of correction24 August 2022

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
2 July 2024Fine$55,96642549
2 July 2024Payment Denial2 October 202420
13 December 2023Fine$7,44642075
13 December 2023Fine$3,91242124
13 December 2023Fine$3,91142125

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business Name620 TOM HUNTER ROAD OPCO LLC
Date First Approved to Provide Medicare and Medicaid Services1991-06-26
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishMecklenburg
Telephone Number7045985136
Chain NameAVARDIS HEALTH
Chain ID843
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day91.9
Overall Rating2
Health Inspection Rating1
QM Rating5
Long-Stay QM Rating5
Processing Date2026-08-01

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

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

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

On 25 December 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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The citable document for Crown Haven Health and Rehabilitation

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.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 345388.