Skilled nursing facility · CMS certification number 365047
FIRST COMMUNITY VILLAGE HEALTHCARE CTR
COLUMBUS, Ohio · Medicare and Medicaid
Certified beds, as filed in Care Compare: 47
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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 January 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,928,648 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,007,448 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,921,200 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,696,498 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,775,298 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,077 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,771,221 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,771,221 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 17,155 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,773 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 670 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,498 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 11,941 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 101 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 170 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 275 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 167.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446204, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,774,011 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,493,288 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,280,723 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,986,898 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,706,175 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$452,160 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,158,335 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,158,335 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,343 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 350 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 38.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1400835, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,998,966 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,502,376 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,496,590 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,346,163 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,849,573 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $252,587 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,596,986 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,596,986 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,327 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 384 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 37.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371529, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,298,178 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,880,261 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,417,917 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,661,084 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,243,167 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $258,047 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,985,120 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,985,120 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,902 | 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 | 28.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 119.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 38.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1339585, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 October 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,436,235 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,545,824 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,890,411 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,918,384 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,027,973 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $866,208 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,161,765 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,161,765 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,433 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 254 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 167.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335844, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,072,743 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,152,327 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,920,416 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,992,357 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,071,941 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $765,201 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,306,740 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,306,740 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,722 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 424 | 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 | 80.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 44.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302042, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,166,593 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,924,603 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,241,990 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,341,514 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,099,524 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $689,324 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,410,200 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,410,200 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,060 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 412 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 241.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251599, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,932,171 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,198,771 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,733,400 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,515,133 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,781,733 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $636,787 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,144,946 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,144,946 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,412 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 438 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 248.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222404, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,480,466 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,741,284 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,739,182 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,247,619 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,508,437 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$91,990 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,600,427 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,600,427 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,708 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 609 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 254.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188816, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 March 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,243,741 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,326,932 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,916,809 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,517,596 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$600,787 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $73,336 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$527,451 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$527,451 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,728 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 791 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 102.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153716, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,075,168 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,089,684 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,985,484 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,304,123 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$318,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,739 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$311,900 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$311,900 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,950 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 732 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 333.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143763, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,555,951 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,777,668 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,778,283 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,812,947 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$34,664 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,055 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,609 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,609 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,830 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 753 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 197.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108858, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 February 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,816,294 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,289,299 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,526,995 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,046,166 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,519,171 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,473 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,508,698 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,508,698 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,189 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 528 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 886.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085467, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 February 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,628,015 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,878,162 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,749,853 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,766,412 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,016,559 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,804 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,994,755 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,994,755 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,646 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 386 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 992.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085466, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 February 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,100,249 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,358,456 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$258,207 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,523 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$221,684 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 163 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,422 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 388 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,405.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 137.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435608, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 September 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,334,541 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $29,336,696 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$7,002,155 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $491,031 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$6,511,124 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 380 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 117,702 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 771 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 320.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 152.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417756, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 September 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,174,363 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,309,428 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,135,065 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $543,981 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$4,591,084 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 380 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 112,014 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 714 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 290.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 156.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387663, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2009.
None of these figures is carried on this report.
CMS report record 357161, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 October 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,403,784 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,004,189 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,600,405 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$8,021 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$3,608,426 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 55,702 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 277 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 705.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 201.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 326671, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 October 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,398,548 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,223,497 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$824,949 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,969,052 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,144,103 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,182 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 270 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 916.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 215.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 294802, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 December 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,710,966 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,982,885 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,271,919 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $775,294 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,496,625 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,658 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 220 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,019.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 266.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 267550, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 October 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,579,032 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,380,809 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$801,777 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$2,185,283 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,987,060 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,561 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 191 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,446.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 311.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 234757, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 30 June 2003
Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 October 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,309,946 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,946,172 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$636,226 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,643 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$599,583 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,683 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 275 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,391.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 217.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 196595, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 30 June 2002
Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 October 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,242,368 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,266,554 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$24,186 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $229,735 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $205,549 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,142 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 928.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 286.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 161835, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 30 June 2001
Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 July 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,046,598 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,945,703 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$899,105 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $133,916 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$765,189 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,076 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 370 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 126.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 466.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 162.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 152395, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 30 June 2000
Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,651,752 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,113,117 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,461,365 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,421,879 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,039,486 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,946 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 344 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 299.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 180.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 44432, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 30 June 1999
Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,757,105 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,933,121 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,176,016 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,610,381 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$565,635 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,657 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 179 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,322.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 338.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 44431, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 30 June 1998
Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 October 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,490,368 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,247,811 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $242,557 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,531,323 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $140,789 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,633,091 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,121 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 414.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 44429, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 30 June 1997
Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 2 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,097,878 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,842,180 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$744,302 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,068,260 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,770 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $304,188 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,374 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 476.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 44428, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 30 June 1996
Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 26 March 1997.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,341,408 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,233,497 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$892,089 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,747,251 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20,965 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $834,197 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,121 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 110 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 564.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 44427, read from the public cost report file SNFFY1995.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| FCV CORPORATION | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 06/30/2003 |
| MACPHERSON, GREGORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/19/2025 |
| PATEL, BHAVESH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/29/2025 |
| ADCOCK, HEATHER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| BARKIN, VICTORIA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| BLOOMFIELD, SALLY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2019 |
| DAVIS, JOHN TERRANCE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2019 |
| HOFF, ANGELA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| METTLER, BRIANNA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| ALEXANDER, SEAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2025 |
| DEHRING, LINDSEY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2024 |
| MEYUNG, KELLI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2024 |
| RULE, MATTHEW | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2019 |
| WOOLLEY, JULIE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2022 |
| MACPHERSON, GREGORY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| NATIONAL CHURCH RESIDENCES HEALTH CARE | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2010 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FIRST COMMUNITY VILLAGE (enrollment ID O20070619000632).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| FCV CORPORATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/30/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| BHAVESH P PATEL | 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. | 12/29/2025 | 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. |
| GREGORY MACPHERSON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/19/2025 | 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. |
| ANGELA MARIE HOFF | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | 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. |
| BRIANNA METTLER | Individual | CORPORATE DIRECTOR | 0 | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HEATHER ADCOCK | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | 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. |
| JOHN TERRANCE DAVIS | 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. | 1/1/2019 | 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. |
| SALLY BLOOMFIELD | 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. | 1/1/2019 | 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. |
| VICTORIA A BARKIN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | 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. |
| JULIE WOOLLEY | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2022 | 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. |
| KELLI MEYUNG | Individual | CORPORATE OFFICER | 0 | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LINDSEY DEHRING | Individual | CORPORATE OFFICER | 0 | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MATTHEW RULE | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | 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. |
| SEAN ALEXANDER | Individual | CORPORATE OFFICER | 0 | 1/1/2025 | 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. |
| GREGORY MACPHERSON | 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. | 1/1/2025 | 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. |
| NATIONAL CHURCH RESIDENCES HEALTH CARE | 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. | 1/1/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: ANGELA MARIE HOFF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANGELA MARIE HOFF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: BHAVESH P PATEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: VICTORIA A BARKIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 August 2025: ROBERT RASMUSSEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SUSAN DIMICKELE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GREGORY COMFORT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GREGORY MACPHERSON 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: VIRGINIA BARNEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SEAN ALEXANDER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: HEATHER ADCOCK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GREGORY MACPHERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GREGORY MACPHERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ANGELA MARIE HOFF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 October 2024: JULIA FRATIANNE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: JENNIFER ADAMS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: BRIAN BASIL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DONALD GARDINER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: ROBERT WALTER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: ROBERT RASMUSSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: BRIANNA METTLER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: KELLI MEYUNG appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: LINDSEY DEHRING appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: GREGORY MACPHERSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 September 2024: MARY ANN KRAUSS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 14 April 2023: STEVEN BODKIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- 1 July 2026: ANGELA MARIE HOFF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANGELA MARIE HOFF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: BHAVESH P PATEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: VICTORIA A BARKIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 8 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 1 August 2025: ROBERT RASMUSSEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SUSAN DIMICKELE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GREGORY COMFORT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GREGORY MACPHERSON 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: VIRGINIA BARNEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SEAN ALEXANDER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: HEATHER ADCOCK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GREGORY MACPHERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GREGORY MACPHERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ANGELA MARIE HOFF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 12 December 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 1 October 2024: JULIA FRATIANNE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: JENNIFER ADAMS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: BRIAN BASIL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DONALD GARDINER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: ROBERT WALTER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: ROBERT RASMUSSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: BRIANNA METTLER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: KELLI MEYUNG appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: LINDSEY DEHRING appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: GREGORY MACPHERSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 September 2024: MARY ANN KRAUSS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 16 January 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 14 April 2023: STEVEN BODKIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 17 January 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 28 October 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 20 October 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 27 February 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 17 April 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 2 March 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 30 September 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 27 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 5 February 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 5 February 2015: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 23 June 2025 | 23 June 2025 | 5 | 2 |
| 2 | 24 July 2023 | 24 July 2023 | 18 | 6 |
| 3 | 5 March 2020 | 5 March 2020 | 3 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
26 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 23 June 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | 31 July 2025 |
| 23 June 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 31 July 2025 |
| 23 June 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 31 July 2025 |
| 23 June 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Past Non-Compliance | 12 February 2025 |
| 23 June 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 31 July 2025 |
| 9 April 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | 22 April 2024 |
| 24 July 2023 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Past Non-Compliance | 29 March 2023 |
| 24 July 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0800 | Nutrition and Dietary Deficiencies | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 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. | F | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 8 September 2023 |
| 24 July 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | F | No | Deficient, Provider has date of correction | 8 September 2023 |
| 5 March 2020 | 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 | 17 April 2020 |
| 5 March 2020 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 17 April 2020 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 23 June 2025 | Fine | $17,610 | 135752 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | FIRST COMMUNITY VILLAGE |
| Date First Approved to Provide Medicare and Medicaid Services | 1967-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Franklin |
| Telephone Number | 6144869511 |
| 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 | 47 |
| Average Number of Residents per Day | 38.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| 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.
Get an email when this record changes
One email a day naming what moved on FIRST COMMUNITY VILLAGE HEALTHCARE CTR: 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: ANGELA MARIE HOFF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for FIRST COMMUNITY VILLAGE HEALTHCARE CTR
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 Ohio at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 365047.