Skilled nursing facility · CMS certification number 345512

Cypress Glen Retirement Community

Greenville, North Carolina · Medicare

Certified beds, as filed in Care Compare: 6

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 5 February 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$20,530,796	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$711,298	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$19,819,498	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$20,450,790	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$631,292	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,189,640	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,558,348	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,558,348 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	26,352	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	693	CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days	18,747	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	19,440	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	28	CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges	71	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	99	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	196.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403231, 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 22 January 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$19,535,099	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$543,254	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,991,845	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,872,771	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$119,074	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,097,642	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$4,216,716	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,216,716 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,342	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	311.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1372336, 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 28 December 2022.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$18,052,322	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$598,594	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,453,728	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,627,097	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$173,369	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,401,990	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$4,228,621	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,228,621 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,382	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	66	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	339.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339105, 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 13 January 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$16,696,278	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$583,586	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,112,692	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,646,419	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$533,727	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,474,538	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,940,811	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,940,811 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,028	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	91	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	220.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1308378, 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 December 2020.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$16,165,305	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$622,183	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,543,122	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,808,781	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$265,659	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,093,792	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,828,133	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,828,133 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,006	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	64	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	265.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1277732, 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 16 January 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$15,779,172	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$554,157	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,225,015	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,402,132	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$177,117	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,336,952	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,159,835	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,159,835 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,387	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	82	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	224.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249417, 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.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$14,939,451	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$541,410	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,398,041	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,847,073	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$449,032	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,557,259	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,108,227	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,108,227 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,326	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	84	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	218.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1217841, 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 15 February 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$14,227,535	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$493,029	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,734,506	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,902,756	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$168,250	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,143,226	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,974,976	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,974,976 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,923	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	103	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	16.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	174.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1183914, 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 January 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$13,915,152	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$317,711	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,597,441	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,367,853	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$229,588	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,466,940	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,696,528	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,696,528 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,197	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	97	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	14.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	197.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1152216, 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 5 February 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$13,472,141	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$350,063	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,122,078	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,247,117	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$125,039	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,479,674	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,354,635	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,354,635 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,241	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	102	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	188.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118646, 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 28 January 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$12,727,422	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$448,019	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,279,403	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,444,810	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$165,407	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,570,785	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$3,405,378	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,405,378 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,484	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	111	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	17.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	166.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1085085, 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 27 January 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$11,981,783	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$449,473	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,532,310	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,931,778	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,399,468	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,763,008	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,363,540	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,363,540 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,637	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	107	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	155.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1054318, 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 14 February 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$11,469,310	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$516,154	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,953,156	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,294,199	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,341,043	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,287,152	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,946,109	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,946,109 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,699	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	109	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	153.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024790, 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 2 February 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$13,810,416	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$12,095,039	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,715,377	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,303,732	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$31,626	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $2,987,483 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,505	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	109	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.03	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	169.77	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424347, 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 28 February 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$12,881,207	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,752,829	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,128,378	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$811,408	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,939,786 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,606	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	86	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.68	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	227.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 394656, 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 22 November 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$12,565,191	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,508,369	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,056,822	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,138,579	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $2,195,401 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,599	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	86	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.19	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	227.9	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 389912, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 30 September 2008

Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 March 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$12,108,624	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,393,933	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$714,691	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$138,908	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $853,599 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,766	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	98	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	201.69	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 335513, 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 20 February 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$11,385,788	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,037,650	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$348,138	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,118,946	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,467,084 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,745	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	75	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	20.03	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	316.6	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 302683, 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 28 March 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$9,866,526	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,284,795	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$581,731	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$989,921	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,571,652 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,145	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	99	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	213.59	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 275994, 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 April 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$7,593,577	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,619,490	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$25,913	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$579,014	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $553,101 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,118	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	81	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.69	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	236.02	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 247038, 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 30 June 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$7,485,685	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,714,015	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$228,330	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$125,471	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$353,801 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,242	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	77	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	21.86	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	249.9	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 226251, 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 27 April 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$7,284,428	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,725,240	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$440,812	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$824,455	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $383,643 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,450	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	76	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	269.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 174237, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 30 September 2002

Cost report for 10 January 2002 to 30 September 2002 — a reporting period of 263 days, not a full year, on form CMS-2540-96, as submitted, processed by CMS on 4 August 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$4,962,377	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,176,794	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$214,417	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$447,749	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $233,332 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	13,778	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	49	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	70.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	281.18	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 156099, read from the public cost report file SNFFY2002.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 10/01/2013
US BANK NATIONAL ASSOCIATION	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 09/01/2014
GONZALEZ RODRIGUEZ, GERARDO	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/26/2025
HAYES, TERRY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/02/2026
LIFE CARE SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/16/2025
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 02/23/2023
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
GONZALEZ RODRIGUEZ, GERARDO	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2023
HAYES, TERRY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/17/2022
LIFE CARE SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2000
STALLINGS, LAURIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/24/1994

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 O20130924000862).

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	10/1/2013	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
GERARDO GONZALEZ RODRIGUEZ	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.	3/26/2025	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.
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
TERRY E HAYES	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.	1/2/2026	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.
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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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	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.
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.
GERARDO GONZALEZ RODRIGUEZ	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.	4/1/2023	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.
LAURIE STALLINGS	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.	1/24/1994	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
TERRY E HAYES	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.	12/17/2022	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.

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: LAURIE STALLINGS no longer appears as OPERATIONAL/MANAGERIAL CONTROL 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 July 2026: LAURIE STALLINGS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2026: CHARLES H MERCER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SUSAN C EZEKIEL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SUSAN C EZEKIEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CARL J HARDY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SPENCE EVANS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: HARVEY G SOUTHERN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JOHN DAVISON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: GAYNELLE PATTERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.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: BRANCH BANKING & TRUST COMPANY no longer 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: LAURIE STALLINGS 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: CLYDE L MCKEE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NORTH CAROLINA MEDICAL CARE COMMISSION no longer 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: 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: 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: CHARLES H MERCER appears as CORPORATE DIRECTOR 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: GERARDO GONZALEZ RODRIGUEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: GERARDO GONZALEZ RODRIGUEZ 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 DIRECTOR 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: 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 OFFICER 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: 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: TERRY E HAYES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: TERRY E HAYES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KENNETH K STEINWEG appears as CORPORATE DIRECTOR 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: 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
1 August 2025: LAURIE STALLINGS appears as OPERATIONAL/MANAGERIAL CONTROL 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: LAURIE STALLINGS no longer appears as OPERATIONAL/MANAGERIAL CONTROL 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 July 2026: LAURIE STALLINGS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2026: CHARLES H MERCER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SUSAN C EZEKIEL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SUSAN C EZEKIEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CARL J HARDY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SPENCE EVANS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: HARVEY G SOUTHERN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JOHN DAVISON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: GAYNELLE PATTERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.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: BRANCH BANKING & TRUST COMPANY no longer 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: LAURIE STALLINGS 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: CLYDE L MCKEE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NORTH CAROLINA MEDICAL CARE COMMISSION no longer 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: 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: 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: CHARLES H MERCER appears as CORPORATE DIRECTOR 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: GERARDO GONZALEZ RODRIGUEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: GERARDO GONZALEZ RODRIGUEZ 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 DIRECTOR 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: 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 OFFICER 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: 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: TERRY E HAYES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: TERRY E HAYES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KENNETH K STEINWEG appears as CORPORATE DIRECTOR 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	19 September 2024	0	1
2	19 September 2024	26 July 2023	1	2
3	26 July 2023	1 June 2022	0	0

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

Deficiencies cited

1 deficiency on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
19 September 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	10 October 2024

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare
Ownership Type	Non profit - Corporation
Legal Business Name	THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED
Date First Approved to Provide Medicare and Medicaid Services	2002-01-10
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	Pitt
Telephone Number	2528300036
Chain Name	LIFE CARE SERVICES
Chain ID	312
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	6
Average Number of Residents per Day	3.4
Overall Rating	5
Health Inspection Rating	5
QM Rating	5
Short-Stay QM Rating	5
Processing Date	2026-08-01

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

Get an email when this record changes

One email a day naming what moved on Cypress Glen Retirement Community: 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 Cypress Glen Retirement Community

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

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 345512.