Skilled nursing facility · CMS certification number 345554

Trinity Grove

Wilmington, North Carolina · Medicare and Medicaid

Certified beds, as filed in Care Compare: 100

Finances, as filed

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

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

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$21,228,331	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,990,779	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,237,552	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,402,330	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$164,778	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$570,550	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$405,772	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $405,772 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	36,600	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	5,645	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	9,059	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	19,787	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	34,491	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	135	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	17	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	153	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	305	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	532.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405663, 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 March 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$20,176,401	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,293,976	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,882,425	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,569,134	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$313,291	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$248,616	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$561,907	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $561,907 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,402	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	372	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	743.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	92.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1374975, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

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

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$13,180,985	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,008,070	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,172,915	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,258,456	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$914,459	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,228,125	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$3,142,584	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,142,584 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,917	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	290	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	338.82	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344608, 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 14 July 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$12,193,231	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$243,517	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,949,714	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,208,129	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$258,415	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$782,853	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$524,438	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $524,438 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,404	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	273	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	616.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	122.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358713, 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 5 August 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$11,956,897	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$804,396	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,152,501	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,207,892	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$55,391	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$373,359	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$317,968	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $317,968 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,186	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	226	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	700.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	151.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329087, 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 21 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$11,818,769	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,321,375	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,497,394	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,143,254	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$354,140	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$201,035	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$555,175	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $555,175 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,769	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	342	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	501.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	101.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254323, 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 19 March 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$11,248,836	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,118,705	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,130,131	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,240,718	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$110,587	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$183,453	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$72,866	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $72,866 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,808	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	417	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	374.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	83.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1221455, 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 28 February 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$10,627,252	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$935,064	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,692,188	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,782,157	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$89,969	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$210,159	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$120,190	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $120,190 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,223	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	396	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	702.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	88.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1184352, 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 16 February 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$10,034,498	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$760,773	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,273,725	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,331,643	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$57,918	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$156,806	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$98,888	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $98,888 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,218	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	391	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	518.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	90.07	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1153016, 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 26 February 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$9,718,735	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$583,313	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,135,422	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,083,921	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$51,501	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$174,826	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$226,327	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $226,327 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,061	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	288	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,089.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	121.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1119659, 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.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$9,224,891	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$886,397	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,338,494	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,740,255	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$401,761	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$162,002	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$239,759	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$239,759 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,031	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	308	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,096	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	110.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1144358, 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 4 December 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$8,421,455	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$224,737	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,196,718	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,224,012	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$27,294	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$171,545	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$144,251	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $144,251 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,909	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	300	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	552.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	109.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1081803, 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, reopened, processed by CMS on 9 September 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$7,687,197	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$15,615	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,671,582	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,743,723	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$72,141	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$146,691	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$74,550	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $74,550 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,480	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	330	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	482.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	92.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1077882, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 September 2011

Cost report for 29 June 2011 to 30 September 2011 — a reporting period of 93 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 March 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$845,939	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,594,501	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$748,562	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$24,431	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$724,131 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	2,679	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	41	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.44	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	526	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	65.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 426325, read from the public cost report file SNFFY2011.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
GOINS, TED	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/04/2004
LSA MANAGEMENT, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/16/2025
LUTHERAN HOME WILMINGTON PROPERTY, INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/14/2025
LUTHERAN SERVICES FOR THE AGING, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/25/2025
NICKERSON, KIRBY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2012
PARRISH, JAMES	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/25/2022
SUTTON-SURAK, AUDREY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2012
SMITH, KESHA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/08/2003
MADDRY, KAREN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/30/2007
NICKERSON, KIRBY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2012
GOINS, TED	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/04/2004
HERMAN, RICHARD	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 06/01/2021
NELSON, DOUGLAS	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 09/01/2022
GOINS, TED	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/04/2004
LSA MANAGEMENT, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/30/2007
LUTHERAN HOME WILMINGTON PROPERTY, INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/05/1988
LUTHERAN SERVICES FOR THE AGING, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/30/2007
PARRISH, JAMES	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/25/2022
SMITH, KESHA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2012
SUTTON-SURAK, AUDREY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/25/2022
GOINS, TED	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 11/04/2004
HERMAN, RICHARD	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2021
LUTHERAN SERVICES FOR THE AGING, INC.	TRUSTEE OF THE SNF	Organization	NOT APPLICABLE	since 04/30/2007
NELSON, DOUGLAS	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 09/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LUTHERAN HOME - WILMINGTON, INC. (enrollment ID O20110222000205).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
LUTHERAN SERVICES FOR THE AGING, INC.	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	4/30/2007	Private equity company: No Real estate investment trust: No Holding company: No
AUDREY L SUTTON-SURAK	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2012	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 PARRISH	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/25/2022	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.
KIRBY NICKERSON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2012	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.
LSA MANAGEMENT, INC.	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.	3/16/2025	Private equity company: No Real estate investment trust: No Holding company: No
LUTHERAN HOME WILMINGTON PROPERTY, INC	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.	4/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
LUTHERAN SERVICES FOR THE AGING, INC.	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.	4/25/2025	Private equity company: No Real estate investment trust: No Holding company: No
TED W GOINS	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.	11/4/2004	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.
KESHA L SMITH	Individual	CORPORATE DIRECTOR	0	9/8/2003	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.
KAREN MADDRY	Individual	CORPORATE OFFICER	0	4/30/2007	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KIRBY NICKERSON	Individual	CORPORATE OFFICER	0	10/1/2012	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.
DOUGLAS E NELSON	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/1/2022	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.
RICHARD HERMAN	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2021	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.
TED W GOINS	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/4/2004	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.
AUDREY L SUTTON-SURAK	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/25/2022	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.
JAMES PARRISH	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/25/2022	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.
KESHA L SMITH	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2012	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.
LSA MANAGEMENT, INC.	Organization	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.	4/30/2007	Private equity company: No Real estate investment trust: No Holding company: No
LUTHERAN HOME WILMINGTON PROPERTY, INC	Organization	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.	4/5/1988	Private equity company: No Real estate investment trust: No Holding company: No
LUTHERAN SERVICES FOR THE AGING, INC.	Organization	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.	4/30/2007	Private equity company: No Real estate investment trust: No Holding company: No
TED W GOINS	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.	11/4/2004	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.
DOUGLAS E NELSON	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/1/2022	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.
LUTHERAN SERVICES FOR THE AGING, INC.	Organization	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/30/2007	Private equity company: No Real estate investment trust: No Holding company: No
RICHARD HERMAN	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2021	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.
TED W GOINS	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/4/2004	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: KESHA L SMITH 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: KESHA L SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2025: KAREN MADDRY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KAREN MADDRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: BETTY LOHR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: ERIC HOYLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TED W GOINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TED W GOINS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TED W GOINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KESHA L SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LSA MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KIRBY NICKERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KIRBY NICKERSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JAMES PARRISH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JAMES PARRISH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUTHERAN SERVICES FOR THE AGING, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUTHERAN SERVICES FOR THE AGING, INC. appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUTHERAN SERVICES FOR THE AGING, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: AUDREY L SUTTON-SURAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: AUDREY L SUTTON-SURAK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: DOUGLAS E NELSON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: DOUGLAS E NELSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUTHERAN HOME WILMINGTON PROPERTY, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUTHERAN HOME WILMINGTON PROPERTY, INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TED W GOINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TED W GOINS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TED W GOINS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: RICHARD HERMAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: RICHARD HERMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KESHA L SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KESHA L SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv

Recent changes on this record

1 July 2026: KESHA L SMITH 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: KESHA L SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHA L SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2025: KAREN MADDRY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KAREN MADDRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: BETTY LOHR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: ERIC HOYLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TED W GOINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TED W GOINS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TED W GOINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KESHA L SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LSA MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KIRBY NICKERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KIRBY NICKERSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JAMES PARRISH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JAMES PARRISH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUTHERAN SERVICES FOR THE AGING, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUTHERAN SERVICES FOR THE AGING, INC. appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUTHERAN SERVICES FOR THE AGING, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: AUDREY L SUTTON-SURAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: AUDREY L SUTTON-SURAK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: DOUGLAS E NELSON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: DOUGLAS E NELSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUTHERAN HOME WILMINGTON PROPERTY, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUTHERAN HOME WILMINGTON PROPERTY, INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TED W GOINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TED W GOINS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TED W GOINS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: RICHARD HERMAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: RICHARD HERMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KESHA L SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KESHA L SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
21 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
14 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
14 July 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
20 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
5 August 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
21 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
19 March 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	18 September 2025	10 October 2024	5	6
2	10 October 2024	13 July 2023	6	2
3	13 July 2023	28 April 2022	4	0

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

Deficiencies cited

15 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
18 September 2025	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	No	Deficient, Provider has date of correction	8 October 2025
18 September 2025	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	B	No	No revisit needed	8 October 2025
18 September 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	Yes	Deficient, Provider has date of correction	26 September 2025
18 September 2025	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	No revisit needed	8 October 2025
18 September 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	8 October 2025
10 October 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	No	Deficient, Provider has date of correction	30 October 2024
10 October 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	No	Deficient, Provider has date of correction	30 October 2024
10 October 2024	Health	F 0810	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	D	No	Deficient, Provider has date of correction	30 October 2024
5 August 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	K	Yes	Past Non-Compliance	21 November 2023
5 August 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	K	Yes	Past Non-Compliance	21 November 2023
5 August 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	25 August 2024
13 July 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	15 August 2023
13 July 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	15 August 2023
13 July 2023	Health	F 0811	Nutrition and Dietary Deficiencies	Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.	D	No	Deficient, Provider has date of correction	15 August 2023
13 July 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	15 August 2023

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

Penalties

Penalty date	Type	Fine amount	Fine ID
18 September 2025	Fine	$64,740	136099
10 October 2024	Fine	$21,085	42610
5 August 2024	Fine	$8,543	42477
5 August 2024	Fine	$8,542	42551

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Church related
Legal Business Name	LUTHERAN HOME - WILMINGTON, INC.
Date First Approved to Provide Medicare and Medicaid Services	2011-06-29
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	New Hanover
Telephone Number	9104423000
Chain Name	LUTHERAN SERVICES CAROLINAS
Chain ID	327
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	100
Average Number of Residents per Day	94.9
Overall Rating	3
Health Inspection Rating	2
QM Rating	3
Long-Stay QM Rating	2
Short-Stay QM Rating	4
Processing Date	2026-08-01

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

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On 1 July 2026: KESHA L SMITH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Trinity Grove

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