Skilled nursing facility · CMS certification number 345502
Lake Park Nursing and Rehabilitation Center
Indian Trail, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 June 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,755,337 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$588,109 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,343,446 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,895,919 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$552,473 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $256,043 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$296,430 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$296,430 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,528 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,420 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,812 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 34,760 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 45 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 69 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 193 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 307 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450647, 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 14 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,965,785 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$735,714 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,701,499 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,731,925 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$30,426 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $182,539 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $152,113 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $152,113 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,430 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 256 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 466.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403704, 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 24 April 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,953,806 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$841,633 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,795,439 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,750,806 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $44,633 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $580,279 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $624,912 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $624,912 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,360 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 269 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 285.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376748, 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 28 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,224,871 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$714,689 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,939,560 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,037,840 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$98,280 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $856,254 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $757,974 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $757,974 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,318 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 299 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 218.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360322, 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 29 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,267,128 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $593,745 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,673,383 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,923,537 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$250,154 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $151,869 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$98,285 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$98,285 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,841 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 212 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 291.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334621, 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 15 July 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,755,311 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,700,981 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,054,330 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,787,235 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,732,905 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $163,670 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,569,235 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,569,235 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,421 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 179 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 462.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1288936, 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 9 September 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,773,473 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,688,906 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,084,567 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,228,310 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,143,743 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $125,139 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,018,604 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,018,604 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,240 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 205 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 282.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1266505, 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 9 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,787,516 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,397,576 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,389,940 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,538,391 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,148,451 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $90,026 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,058,425 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,058,425 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,944 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 146 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 453.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 177.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252104, 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 17 September 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,892,571 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,649,060 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,243,511 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,965,553 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$722,042 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $213,377 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$508,665 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$508,665 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,329 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 268.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1211479, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 September 2015
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,163,501 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,235,354 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,928,147 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,612,046 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $316,101 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $236,888 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $552,989 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $552,989 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,160 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 262 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 369.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188941, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 September 2014
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,987,315 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,215,883 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,771,432 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,577,071 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,194,361 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $213,116 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,407,477 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,407,477 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,626 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 369 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 484.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143880, 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 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,923,316 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,752,934 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,170,382 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,372,691 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,797,691 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $222,369 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,020,060 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,020,060 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,048 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 434 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 511.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104003, 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 17 March 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,600,141 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,311,589 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,288,552 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,681,768 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,606,784 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $164,711 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,771,495 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,771,495 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,932 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 454 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 502.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056955, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 September 2011
Cost report for 1 January 2011 to 30 September 2011 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,252,342 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,517,218 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,735,124 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $155,774 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,890,898 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,927 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 344 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 456.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432690, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 October 2010 to 31 December 2010 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 30 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,005,740 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,522,275 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $483,465 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,855 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $537,320 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,338 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 126.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 51.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433501, read from the public cost report file SNFFY2011.zip.
Fiscal year 2009, ended 30 September 2009
Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 March 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,814,818 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,658,068 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,156,750 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $159,882 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,316,632 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,133 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 572 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 395.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395487, 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 29 January 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,117,592 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,400,849 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $716,743 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $55,260 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $772,003 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,392 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 571 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 366.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363240, 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 12 December 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,810,683 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,874,544 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $936,139 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $169,885 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,106,024 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,692 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 518 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 453.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 78.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 330167, 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 13 September 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,305,551 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,300,120 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $5,431 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $164,384 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $169,815 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,060 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 323 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 451.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 102.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 293629, 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 11 January 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,898,150 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,507,815 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $390,335 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $197,514 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $587,849 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,988 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 303 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 488.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 105.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270262, 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 1 February 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,368,769 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,254,707 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $114,062 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $113,307 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $227,369 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,066 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 243 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 391.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242065, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 30 September 2003
Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 February 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,848,499 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,711,342 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $137,157 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $94,932 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $232,089 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,114 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 645 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 208607, 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 1 October 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,605,922 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,634,552 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$28,630 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $108,153 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $79,523 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,918 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 262 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 363.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 161330, 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 | $3,633,191 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,215,000 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$581,809 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $105,116 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$476,693 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,489 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 451.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 187.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 129721, read from the public cost report file SNFFY2001.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 |
|---|---|---|---|---|
| BARNABEI, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2022 |
| BOICE, GALE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/05/2018 |
| HILL, RAYMOND | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2011 |
| HILL, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2011 |
| HILL, STEPHEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2011 |
| JACKSON, RAFAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/03/2025 |
| BOICE, GALE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/05/2018 |
| JOHNSON, DIANNE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2011 |
| JACKSON, RAFAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/24/2024 |
| PRINCIPLE LONG TERM CARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2011 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of EVEREST LONG TERM CARE, LLC (enrollment ID O20111021000154).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PRINCIPLE IT SERVICES, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| PRINCIPLE LONG TERM CARE, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| RAYMOND GREGG HILL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18.47 | 1/1/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROBERT O'NEIL HILL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20.6 | 1/1/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STEPHEN BRITT HILL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20.02 | 1/1/2011 | 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. |
| GALE R BOICE | 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. | 3/5/2018 | 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. |
| RAFAEL JACKSON | 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. | 7/3/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RAYMOND GREGG HILL | 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. | 1/1/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROBERT A BARNABEI | 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. | 3/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROBERT O'NEIL HILL | 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. | 1/1/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STEPHEN BRITT HILL | 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. | 1/1/2011 | 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. |
| DIANNE JOHNSON | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2011 | 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. |
| GALE R BOICE | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/5/2018 | 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. |
| PRINCIPLE LONG TERM CARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | 50 | 1/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| RAFAEL JACKSON | 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. | 6/24/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: ROBERT A BARNABEI no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND GREGG HILL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND GREGG HILL no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ROBERT A BARNABEI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND GREGG HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND GREGG HILL appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2026: ROGER HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DIANNE JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: STEPHEN BRITT HILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ROBERT O'NEIL HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ROBERT O'NEIL HILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RAYMOND GREGG HILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RAFAEL JACKSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RAFAEL JACKSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: GALE R BOICE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: STEPHEN BRITT HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ROBERT O'NEIL HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ROBERT A BARNABEI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RAYMOND GREGG HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Recent changes on this record
- 1 July 2026: ROBERT A BARNABEI no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND GREGG HILL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND GREGG HILL no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ROBERT A BARNABEI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND GREGG HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND GREGG HILL appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 June 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 January 2026: ROGER HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DIANNE JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: STEPHEN BRITT HILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ROBERT O'NEIL HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ROBERT O'NEIL HILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RAYMOND GREGG HILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RAFAEL JACKSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RAFAEL JACKSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: GALE R BOICE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: STEPHEN BRITT HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ROBERT O'NEIL HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ROBERT A BARNABEI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RAYMOND GREGG HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 14 February 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 24 April 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 28 July 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 29 September 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 15 July 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 9 September 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 9 March 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 17 September 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 2 May 2018: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 30 September 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 25 July 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 17 March 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 30 October 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2011.zip
- 26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- 12 March 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 15 March 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 29 January 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 12 December 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 13 September 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 11 January 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 22 January 2026 | 22 January 2026 | 3 | 8 |
| 2 | 24 October 2024 | 24 October 2024 | 11 | 6 |
| 3 | 5 May 2023 | 5 May 2023 | 8 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
22 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 22 January 2026 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | B | No | No revisit needed | 9 February 2026 |
| 22 January 2026 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 9 February 2026 |
| 22 January 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 9 February 2026 |
| 24 April 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | 16 May 2025 |
| 24 October 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | E | No | Deficient, Provider has date of correction | 21 November 2024 |
| 24 October 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | B | No | Deficient, Provider has plan of correction | 21 November 2024 |
| 24 October 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | B | No | Deficient, Provider has plan of correction | 21 November 2024 |
| 24 October 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 21 November 2024 |
| 24 October 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | 21 November 2024 |
| 24 October 2024 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | E | No | Deficient, Provider has date of correction | 21 November 2024 |
| 24 October 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | 21 November 2024 |
| 24 October 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has plan of correction | 21 November 2024 |
| 24 October 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | 21 November 2024 |
| 24 October 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Yes | Deficient, Provider has date of correction | 21 November 2024 |
| 3 November 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 27 November 2023 |
| 5 May 2023 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | 2 June 2023 |
| 5 May 2023 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | B | No | Deficient, Provider has date of correction | 2 June 2023 |
| 5 May 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 2 June 2023 |
| 5 May 2023 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | No | Deficient, Provider has date of correction | 2 June 2023 |
| 5 May 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | G | No | Deficient, Provider has date of correction | 2 June 2023 |
| 5 May 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 2 June 2023 |
| 5 May 2023 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | No | Deficient, Provider has date of correction | 2 June 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 |
|---|---|---|---|---|---|
| 24 April 2025 | Fine | $25,879 | 42746 | ||
| 3 November 2023 | Fine | $8,745 | 42011 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | EVEREST LONG TERM CARE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2000-06-07 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Union |
| Telephone Number | 7048823420 |
| Chain Name | PRINCIPLE LONG TERM CARE |
| Chain ID | 423 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 104.3 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| 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 Lake Park Nursing and Rehabilitation Center: 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: ROBERT A BARNABEI no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Lake Park Nursing and Rehabilitation Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in North Carolina at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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 345502.