Skilled nursing facility · CMS certification number 345501
Croasdaile Village
Durham, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 102
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 20 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $54,642,839 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,554,626 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $51,088,213 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $57,539,501 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,451,288 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,669,844 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,781,444 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,781,444 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 60,756 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,995 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,112 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 38,989 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 51,096 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 143 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 259 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 405 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,037.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441099, 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 19 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $47,453,041 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,977,568 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $44,475,473 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $51,931,970 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,456,497 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,404,985 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,948,488 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,948,488 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,832 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 390 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 646 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401301, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $45,134,222 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,116,939 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $42,017,283 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $48,814,423 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,797,140 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,966,606 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $8,169,466 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $8,169,466 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,325 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 350 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,140.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340113, 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 15 December 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $42,478,694 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,818,892 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $39,659,802 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $46,687,903 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,028,101 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,538,497 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,510,396 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,510,396 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,963 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 293 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,292.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338326, 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 7 June 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $42,623,593 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,253,529 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $39,370,064 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $40,243,082 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$873,018 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,340,600 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $8,467,582 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $8,467,582 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,706 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 287 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,438.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1318531, 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 28 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $40,878,975 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,737,402 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $37,141,573 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $38,099,707 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$958,134 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,360,933 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,402,799 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,402,799 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,189 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 351 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,500 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250034, 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 24 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $37,151,425 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,658,689 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $33,492,736 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $34,042,280 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$549,544 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,808,709 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,259,165 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,259,165 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,317 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 309 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,029.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217839, 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 16 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,500,603 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,181,822 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $31,318,781 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,637,897 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$319,116 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,525,622 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,206,506 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $6,206,506 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,496 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 276 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,977.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 153.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237084, 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 31 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $34,591,126 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,827,217 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $30,763,909 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,327,697 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$563,788 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,994,021 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,430,233 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,430,233 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,322 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,752.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203855, 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 31 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $33,933,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,644,535 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $30,289,320 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,964,962 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,675,642 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,363,559 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,687,917 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,687,917 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,539 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 344 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,213.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171225, 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 31 March 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $33,378,328 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,739,763 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $29,638,565 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,797,442 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,158,877 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,553,826 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,394,949 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,394,949 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,557 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 290 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,663.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121492, 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 24 September 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,914,261 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,281,700 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $28,632,561 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,039,257 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,406,696 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,285,553 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,878,857 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,878,857 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,254 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 301 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,340.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 153.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1110716, 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 25 September 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $30,700,714 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,929,505 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,771,209 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $29,249,729 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,478,520 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,223,231 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,744,711 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,744,711 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,464 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 249 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,287 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 190.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1048610, 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 19 February 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $26,694,645 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,695,460 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,000,815 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,661,707 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,210 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $3,655,682 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,155 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 308 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,486.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 153.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434187, 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 4 June 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $25,947,171 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,282,372 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,335,201 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,155,662 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,820,461 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,338 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 284 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,326.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 159.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 402046, 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 29 April 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $25,305,793 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,542,699 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,236,906 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,670,342 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,968 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $3,430,468 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,385 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 307 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,479.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 151.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368489, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 30 September 2008
Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 April 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $23,684,774 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,255,811 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,571,037 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,997,005 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $496 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $3,425,472 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,360 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 266 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,112.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 178.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 336604, 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 9 May 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $20,855,003 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,137,564 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,282,561 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,043,240 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,760,679 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,893 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,128.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 205.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308670, 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 8 August 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,447,268 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,719,671 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,272,403 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,166,655 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,894,252 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,113 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 271 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 525.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 177.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 291397, 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 12 December 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,876,393 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,576,545 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,700,152 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$2,661,600 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$5,361,752 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,890 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 279 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 653.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 171.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 268388, 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 16 February 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,806,140 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,283,928 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,477,788 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,012,441 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,534,653 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,558 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 253 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 537.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 187.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243084, 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 18 April 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,667,116 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,210,858 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,543,742 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,745,667 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $201,925 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,076 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 274 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 422.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 179.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 213365, 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 4 August 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,145,835 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,701,699 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,555,864 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,672,222 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $116,358 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,424 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 290 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 555.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 170.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156098, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 30 September 2001
Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,719,562 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,936,582 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$4,217,020 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,235,922 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$981,098 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,325 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 339 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 138.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 141.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 142.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 130066, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 30 September 2000
Cost report for 24 March 2000 to 30 September 2000 — a reporting period of 190 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 11 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,484,831 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,819,596 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,334,765 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,344,363 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,990,402 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,505 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 38 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 625 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 510.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 513.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 113706, read from the public cost report file SNFFY2000.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/13/2011 |
| US BANK NATIONAL ASSOCIATION | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 09/01/2014 |
| LIFE CARE SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/16/2025 |
| RIZWAN ALAM, SANYA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/21/2025 |
| SHARDA, NEEMA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/21/2025 |
| DAVISON, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| ERICKSON, JONATHAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/01/2006 |
| EVANS, SPENCE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| HARRISS, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/07/2019 |
| LEE, WOO | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/31/2018 |
| LITTLE, NANCY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/22/2024 |
| MARTIN, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/23/2023 |
| PARKER, MACK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/03/2022 |
| PATTERSON, GAYNELLE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| SOUTHERN, HARVEY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/29/2020 |
| STEINWEG, KENNETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/04/2021 |
| TAYLOR, SHERYL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/23/2023 |
| VAN ANTWERP, NANCY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/07/2019 |
| DOBSON, STACY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/10/2006 |
| ERICKSON, JONATHAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2006 |
| HARRISS, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/03/2022 |
| PARKER, MACK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/30/2025 |
| SOUTHERN, HARVEY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/30/2025 |
| VAN ANTWERP, NANCY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/30/2025 |
| LIFE CARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2000 |
| MARCH, HEATHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2001 |
| MARION, REBECCA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/17/2001 |
| RIZWAN ALAM, SANYA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2023 |
| SHARDA, NEEMA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED (enrollment ID O20030317000025).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/13/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| US BANK NATIONAL ASSOCIATION | Organization | 5% OR GREATER SECURITY INTEREST | 0 | 9/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| LIFE CARE SERVICES LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/16/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| NEEMA KAPADIA SHARDA | 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. | 4/21/2025 | 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. |
| SANYA RIZWAN ALAM | 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. | 4/21/2025 | 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. |
| GAYNELLE PATTERSON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HARVEY G SOUTHERN | Individual | CORPORATE DIRECTOR | 0 | 10/29/2020 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JAMES E MARTIN | Individual | CORPORATE DIRECTOR | 0 | 2/23/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN DAVISON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JONATHAN ERICKSON | Individual | CORPORATE DIRECTOR | 0 | 11/1/2006 | 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. |
| KENNETH K STEINWEG | Individual | CORPORATE DIRECTOR | 0 | 11/4/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MACK B PARKER | Individual | CORPORATE DIRECTOR | 0 | 11/3/2022 | 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. |
| NANCY J. VAN ANTWERP | Individual | CORPORATE DIRECTOR | 0 | 11/7/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NANCY R LITTLE | Individual | CORPORATE DIRECTOR | 0 | 8/22/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHERYL B TAYLOR | Individual | CORPORATE DIRECTOR | 0 | 2/23/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SPENCE EVANS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WILLIAM HARRISS | Individual | CORPORATE DIRECTOR | 0 | 11/7/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WOO IL LEE | Individual | CORPORATE DIRECTOR | 0 | 12/31/2018 | 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. |
| HARVEY G SOUTHERN | Individual | CORPORATE OFFICER | 0 | 10/30/2025 | 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. |
| JONATHAN ERICKSON | Individual | CORPORATE OFFICER | 0 | 11/1/2006 | 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. |
| MACK B PARKER | Individual | CORPORATE OFFICER | 0 | 10/30/2025 | 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. |
| NANCY J. VAN ANTWERP | Individual | CORPORATE OFFICER | 0 | 10/30/2025 | 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. |
| STACY DOBSON | Individual | CORPORATE OFFICER | 0 | 7/10/2006 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WILLIAM HARRISS | Individual | CORPORATE OFFICER | 0 | 11/3/2022 | 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. |
| HEATHER DAWN MARCH | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2001 | 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. |
| LIFE CARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 1/1/2000 | Private equity company: No Real estate investment trust: No Holding company: No |
| NEEMA KAPADIA SHARDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| REBECCA ELIZABETH MARION | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/17/2001 | 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. |
| SANYA RIZWAN ALAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: STACY DOBSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GAYNELLE PATTERSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STACY DOBSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GAYNELLE PATTERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: CHARLES H MERCER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SUSAN C EZEKIEL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SUSAN C EZEKIEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CARL J HARDY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SPENCE EVANS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HARVEY G SOUTHERN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JOHN DAVISON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: GAYNELLE PATTERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 August 2025: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: HEATHER DAWN MARCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JOHN LINK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RICHARD H EVANS JR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: KATHRYN BRADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JONATHAN ERICKSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: REBECCA ELIZABETH MARION no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: DEBORAH MONTAGUE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: STACY DOBSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: US BANK NATIONAL ASSOCIATION appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: HEATHER DAWN MARCH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SUSAN C EZEKIEL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: MACK B PARKER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: MACK B PARKER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: HARVEY G SOUTHERN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JAMES E MARTIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JONATHAN ERICKSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: NANCY J. VAN ANTWERP appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: NANCY J. VAN ANTWERP appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WILLIAM HARRISS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WILLIAM HARRISS appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SANYA RIZWAN ALAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SANYA RIZWAN ALAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: LIFE CARE SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: REBECCA ELIZABETH MARION appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: NANCY R LITTLE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: NEEMA KAPADIA SHARDA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: NEEMA KAPADIA SHARDA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SHERYL B TAYLOR appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: STACY DOBSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- 1 July 2026: STACY DOBSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GAYNELLE PATTERSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STACY DOBSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GAYNELLE PATTERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: CHARLES H MERCER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SUSAN C EZEKIEL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SUSAN C EZEKIEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CARL J HARDY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SPENCE EVANS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HARVEY G SOUTHERN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JOHN DAVISON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: GAYNELLE PATTERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 20 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 August 2025: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: HEATHER DAWN MARCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JOHN LINK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: RICHARD H EVANS JR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: KATHRYN BRADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JONATHAN ERICKSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: REBECCA ELIZABETH MARION no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: DEBORAH MONTAGUE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: STACY DOBSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: US BANK NATIONAL ASSOCIATION appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: HEATHER DAWN MARCH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SUSAN C EZEKIEL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: MACK B PARKER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: MACK B PARKER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: HARVEY G SOUTHERN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JAMES E MARTIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JONATHAN ERICKSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: NANCY J. VAN ANTWERP appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: NANCY J. VAN ANTWERP appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WILLIAM HARRISS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WILLIAM HARRISS appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SANYA RIZWAN ALAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SANYA RIZWAN ALAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: LIFE CARE SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: REBECCA ELIZABETH MARION appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: NANCY R LITTLE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 14 August 2025 | 11 July 2024 | 3 | 2 |
| 2 | 11 July 2024 | 23 February 2023 | 1 | 3 |
| 3 | 23 February 2023 | 4 November 2021 | 2 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
6 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 8 April 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 28 April 2026 |
| 14 August 2025 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | 10 September 2025 |
| 14 August 2025 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | No | No revisit needed | 10 September 2025 |
| 11 July 2024 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | No | Deficient, Provider has plan of correction | 31 July 2024 |
| 23 February 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | 20 March 2023 |
| 23 February 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | 20 March 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 8 April 2026 | Fine | $9,870 | 138235 | ||
| 30 August 2024 | Fine | $15,405 | 42512 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED |
| Date First Approved to Provide Medicare and Medicaid Services | 2000-01-03 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Durham |
| Telephone Number | 9193842304 |
| Chain Name | LIFE CARE SERVICES |
| Chain ID | 312 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 102 |
| Average Number of Residents per Day | 81.5 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on Croasdaile Village: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: STACY DOBSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Croasdaile Village
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in North Carolina at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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 345501.