Skilled nursing facility · CMS certification number 345425

Fair Haven Home Inc

Bostic, North Carolina · Medicare and Medicaid

Certified beds, as filed in Care Compare: 30

Finances, as filed

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

Cost report for 1 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 March 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$6,824,060	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,735,589	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,088,471	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,324,325	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$235,854	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$94,482	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$141,372	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$141,372 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	24,522	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,775	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	4,205	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	15,935	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	21,915	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	77	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	4	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	99	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	180	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,051.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	121.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405655, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 March 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,939,274	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,744,343	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,194,931	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,095,638	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$99,293	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,146,259	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,245,552	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,245,552 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,248	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	152	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	524.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	139.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1406067, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 February 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,481,018	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,057,817	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,423,201	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,837,583	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$414,382	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$106,132	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$308,250	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$308,250 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,101	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	134	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	514.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	157.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342759, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 February 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$4,707,751	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$60,938	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,646,813	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,740,147	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$93,334	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$95,468	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,134	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,134 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,860	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	82	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,301.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	230	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309890, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 September 2020

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

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$4,797,492	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$949,486	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,848,006	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,033,943	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$185,937	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$497,642	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$311,705	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $311,705 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,878	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	86	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.84	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	672.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	254.4	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328921, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 September 2019

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 August 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$4,940,068	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,105,923	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,834,145	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,956,441	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$122,296	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$161,210	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$38,914	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $38,914 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,725	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	148	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	457	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	146.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1292633, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 30 September 2018

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

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,767,801	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$950,596	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,817,205	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,944,386	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$127,181	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$252,278	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$125,097	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $125,097 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,382	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	102	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	500.91	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	219.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1262042, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 30 September 2017

Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 February 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,517,946	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$884,248	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,633,698	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,928,319	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$294,621	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$109,111	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$185,510	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$185,510 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,038	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	77	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	967.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	299.19	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1183709, 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 26 July 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,474,064	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$731,562	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,742,502	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,708,481	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$34,021	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$244,402	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$210,381	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$210,381 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,998	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	76	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	67.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	508.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	302.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1203055, 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 28 July 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$5,150,679	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,118,586	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,032,093	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,923,592	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$108,501	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$23,805	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$132,306	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $132,306 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,802	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	101	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	63.48	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	510.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	225.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171190, 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 22 February 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,875,330	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,071,866	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,803,464	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,842,713	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$39,249	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$24,083	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$15,166	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$15,166 (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%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,232	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	130	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	699.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	171.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1119318, 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 22 April 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,444,778	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$759,283	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,685,495	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,657,998	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$27,497	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$27,107	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$54,604	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $54,604 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,302	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	96	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	76.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	760.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	232.31	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1088961, 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 19 December 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,427,069	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$624,135	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,802,934	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,806,078	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$3,144	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,331	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$16,187	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $16,187 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,103	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	89	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	486	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	248.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1052759, 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 7 December 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$3,941,028	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,698,399	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$242,629	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$32,804	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $275,433 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,291	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	149	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.11	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	338.79	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	149.6	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433899, 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 27 January 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,385,301	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,439,410	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$54,109	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$20,342	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$33,767 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,458	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	127	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	49.45	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	534.45	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	176.83	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424062, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 September 2009

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,321,160	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,331,649	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$10,489	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$25,742	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $15,253 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,849	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	110	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.97	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	406.72	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	207.72	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 387976, 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 17 March 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,149,676	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,073,785	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$75,891	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$23,113	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $99,004 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,846	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	102	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.39	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	487.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	223.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 335512, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 30 September 2007

Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 May 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$2,956,798	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,997,355	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$40,557	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$20,633	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$19,924 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,711	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	109	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.53	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	319.59	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	208.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 308598, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 30 September 2006

Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 May 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,957,939	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,907,264	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$50,675	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$18,447	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $69,122 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,332	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	94	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	836.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	248.21	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 278931, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 30 September 2005

Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 September 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,710,593	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,668,633	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$41,960	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$23,754	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $65,714 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,129	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	106	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	44.55	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	284.43	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	218.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 263995, 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.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,541,417	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,437,813	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$103,604	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,794	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $116,398 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,447	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	113	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.98	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	240.04	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	207.5	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 241853, 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 23 February 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,298,270	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,194,378	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$103,892	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$14,018	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $117,910 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,997	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	157	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.26	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	224.78	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	146.48	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 208602, 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, as submitted, processed by CMS on 28 July 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,347,214	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,293,852	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$53,362	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$23,916	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $77,278 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,521	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	127	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.17	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	377.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	177.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 154110, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 30 September 2001

Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 11 February 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$2,233,256	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,201,044	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$32,212	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$38,825	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $71,037 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,324	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	124	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.52	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	228.15	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	188.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 115697, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 30 September 2000

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

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$1,945,476	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,944,727	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$749	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,138	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $12,887 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,607	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	89	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.87	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	448.81	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	265.25	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 123954, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 30 September 1999

Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 December 2000.

Net income, stated at moderate confidence: −$89,775 (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.

CMS report record 41389, 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 21 August 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$1,810,085	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,786,282	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$23,803	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$210	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $24,013 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,376	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	85	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	422.35	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	275.01	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 41388, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 30 September 1997

Cost report for 1 October 1996 to 30 September 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 May 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$1,836,470	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,729,306	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$107,164	CMS-2540-96 worksheet G300000 line 500 column 100
Total other expenses	$173	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $106,991 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,989	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	81	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.1	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	473.73	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	296.16	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 41386, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 30 September 1996

Cost report for 1 October 1995 to 30 September 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 1 April 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$1,642,905	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,663,840	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$20,935	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$9,928	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$11,007 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	67	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,797	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	101	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	251.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	235.61	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 41384, read from the public cost report file SNFFY1996.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
MCKEITHAN, EMMETT	5% OR GREATER MORTGAGE INTEREST	Individual	NOT APPLICABLE	since 12/01/2007
DORSEY, TRENTON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/11/2025
MCKEITHAN, EMMETT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/1992
DORSEY, TRENTON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/11/2025
MCKEITHAN, EMMETT	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 07/15/1972
MCKEITHAN, EMMETT	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 04/01/1992
DORSEY, TRENTON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/11/2025
MCKEITHAN, EMMETT	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 04/01/1992

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FAIR HAVEN HOME, INC. (enrollment ID O20120215000288).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
EMMETT MCKEITHAN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	7/15/1972	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.
EMMETT MCKEITHAN	Individual	5% OR GREATER MORTGAGE INTEREST	100	12/1/2007	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EMMETT MCKEITHAN	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.	4/1/1992	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.
TRENTON SCOTT DORSEY	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/11/2025	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.	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.	6/3/2025	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.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EMMETT MCKEITHAN	Individual	CORPORATE OFFICER	100	7/15/1972	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.
TRENTON SCOTT DORSEY	Individual	CORPORATE OFFICER	100	2/11/2025	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.
EMMETT MCKEITHAN	Individual	DIRECT OWNERSHIP INTEREST	100	4/1/1992	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.
TRENTON SCOTT DORSEY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/11/2025	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.
EMMETT MCKEITHAN	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/1992	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 February 2026: SUZANNE HENSLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SUZANNE HENSLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JOHN CILONE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: EMMETT MCKEITHAN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: EMMETT MCKEITHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: EMMETT MCKEITHAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRENTON SCOTT DORSEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRENTON SCOTT DORSEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRENTON SCOTT DORSEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
2 October 2023: FAIR HAVEN HOME, INC. no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: FAIR HAVEN HOME, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv

Recent changes on this record

1 February 2026: SUZANNE HENSLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SUZANNE HENSLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JOHN CILONE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: EMMETT MCKEITHAN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: EMMETT MCKEITHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: EMMETT MCKEITHAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRENTON SCOTT DORSEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRENTON SCOTT DORSEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRENTON SCOTT DORSEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
31 March 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
21 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
2 October 2023: FAIR HAVEN HOME, INC. no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: FAIR HAVEN HOME, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
20 February 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
4 August 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
3 February 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
10 August 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
30 July 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
26 July 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
12 February 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
28 July 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
22 February 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
22 April 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
19 December 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
7 December 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
27 January 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
21 September 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
17 March 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
8 May 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
18 May 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
27 September 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
31 January 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
23 February 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
28 July 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
12 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
11 February 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
12 December 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
21 August 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
18 May 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	8 July 2025	8 May 2024	1	2
2	8 May 2024	4 January 2023	1	1
3	4 January 2023	22 January 2021	1	0

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

Deficiencies cited

3 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
8 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	25 July 2025
8 May 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	31 May 2024
4 January 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.	D	No	Deficient, Provider has date of correction	25 January 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	FAIR HAVEN HOME, INC.
Date First Approved to Provide Medicare and Medicaid Services	1992-06-25
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Rutherford
Telephone Number	8282459095
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	30
Average Number of Residents per Day	27.0
Overall Rating	5
Health Inspection Rating	5
QM Rating	3
Long-Stay QM Rating	2
Short-Stay QM Rating	5
Processing Date	2026-08-01

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

Get an email when this record changes

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On 1 February 2026: SUZANNE HENSLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Fair Haven Home Inc

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

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 345425.