Skilled nursing facility · CMS certification number 365305
Willoughby Post Acute
WILLOUGHBY, Ohio · Medicare and Medicaid
Certified beds, as filed in Care Compare: 157
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 December 2024 to 31 December 2024 — a reporting period of 30 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 6 March 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,218,998 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,094,334 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,124,664 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,214,308 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$89,644 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$89,644 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$89,644 (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 | 157 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 4,867 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 125 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,042 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,940 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 4,107 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 5 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 29 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 35 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,042 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448365, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 June 2023 to 31 December 2023 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 9 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,891,106 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,044,366 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,846,740 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,949,024 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $897,716 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $214,802 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,112,518 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,112,518 (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 | 157 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,407 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 281 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 251.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391756, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 May 2022
Cost report for 1 June 2021 to 31 May 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 February 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,719,929 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,814,661 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,905,268 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,493,987 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,588,719 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $564,307 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,024,412 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,026,562 (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 | 157 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,273 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 574 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 141.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373359, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 31 May 2021
Cost report for 1 June 2020 to 31 May 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 October 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,882,176 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,157,456 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,724,720 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,116,965 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,392,245 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $702,050 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,690,195 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,692,469 (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 | 157 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,384 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 612 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 113.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335291, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 31 May 2020
Cost report for 1 June 2019 to 31 May 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 May 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,756,227 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,639,531 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,116,696 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,932,401 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$815,705 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $727,393 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$88,312 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$95,942 (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 | 157 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,306 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 832 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.44 | 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 | 54.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315608, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 31 May 2019
Cost report for 1 June 2018 to 31 May 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 September 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,771,062 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,734,484 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,036,578 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,543,278 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$506,700 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,114 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$503,586 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$511,711 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,929 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 881 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 115.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1269898, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 31 May 2018
Cost report for 1 June 2017 to 31 May 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,678,556 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,764,704 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,913,852 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,025,141 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,111,289 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,991 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,108,298 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,117,388 (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 | 157 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,841 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 850 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 104.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254230, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 May 2017
Cost report for 1 June 2016 to 31 May 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,302,460 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,691,511 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,610,949 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,561,078 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$950,129 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,942 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$946,187 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$953,143 (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 | 157 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,473 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 938 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 118.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 51.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218204, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 May 2016
Cost report for 1 June 2015 to 31 May 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,702,081 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,730,225 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,971,856 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,981,855 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,009,999 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,100 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,007,899 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,020,873 (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 | 157 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,149 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 806 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 129.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1184464, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 May 2015
Cost report for 1 June 2014 to 31 May 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 | $19,202,273 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,503,428 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,698,845 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,606,099 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$907,254 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,146 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$904,108 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$914,693 (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 | 164 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,888 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 900 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 95.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 49.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143722, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 31 May 2014
Cost report for 1 June 2013 to 31 May 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,431,498 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,761,916 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,669,582 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,164,145 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$494,563 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,494 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$491,069 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$512,846 (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 | 164 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,271 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 875 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 86.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109665, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 May 2013
Cost report for 1 June 2012 to 31 May 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,867,551 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,716,783 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,150,768 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,764,714 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$613,946 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,059 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$611,887 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$622,344 (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 | 157 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,445 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 842 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 103.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1070163, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 May 2012
Cost report for 1 June 2011 to 31 May 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,783,785 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,647,417 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,136,368 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,750,959 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$614,591 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,739 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$612,852 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$626,263 (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 | 157 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,368 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 951 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 91.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049469, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 May 2011
Cost report for 1 June 2010 to 31 May 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 September 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,990,821 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,804,131 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,186,690 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,018 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,570 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $2,181,138 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,519 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,030 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 99.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 50.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432254, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 31 May 2010
Cost report for 1 June 2009 to 31 May 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 8 November 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,584,631 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,274,499 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,310,132 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,268 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,986 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $2,303,414 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,759 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 987 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 126.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 54.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420043, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 May 2009
Cost report for 1 June 2008 to 31 May 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 July 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,091,718 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,525,160 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,566,558 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,201 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,569,759 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,654 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 888 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 154.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 58.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 382687, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 31 May 2008
Cost report for 20 December 2007 to 31 May 2008 — a reporting period of 163 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 28 September 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,236,363 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,593,592 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $642,771 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,663 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $128 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $645,306 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,195 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 383 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 275.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 63.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 357215, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 19 December 2007
Cost report for 1 June 2007 to 19 December 2007 — a reporting period of 201 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 16 September 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,227,714 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,083,532 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $144,182 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,565 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $147,747 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,675 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 429 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 290.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 69.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 356659, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 May 2006
Cost report for 1 June 2005 to 31 May 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 August 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,757,883 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,599,695 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $158,188 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,511 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $882 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $191,817 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,672 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 686 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 270.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 78.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 293074, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 31 May 2005
Cost report for 1 June 2004 to 31 May 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 March 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,144,182 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,979,328 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $164,854 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,037 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $214,891 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,057 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 607 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 329.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244219, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 May 2004
Cost report for 1 June 2003 to 31 May 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 April 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,527,818 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,275,992 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,251,826 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,013 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,273,839 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,857 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 694 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 254.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 76.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 213538, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 31 May 2003
Cost report for 1 June 2002 to 31 May 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,355,561 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,144,035 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,211,526 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,673 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,249,199 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,699 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 721 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 317.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173967, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 31 May 2002
Cost report for 1 June 2001 to 31 May 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,446,046 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,181,227 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,264,819 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,553 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,302,372 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,474 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 675 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 391.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 79.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175774, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 31 May 2001
Cost report for 1 June 2000 to 31 May 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,937,411 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,451,802 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,485,609 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,706 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$21,555 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $2,548,870 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,977 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 671 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 267.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 139838, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 31 May 2000
Cost report for 1 June 1999 to 31 May 2000 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 8 March 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,633,460 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,277,633 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,355,827 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,944 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $94,687 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,311,084 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,363 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 578 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 287.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 94.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395170, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 31 May 1999
Cost report for 1 June 1998 to 31 May 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 27 July 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,984,474 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,769,352 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,215,122 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52,792 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $51,451 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $2,216,463 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,649 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 303 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 279.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 180.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 413279, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 31 May 1998
Cost report for 1 November 1997 to 31 May 1998 — a reporting period of 211 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 10 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,181,302 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,597,396 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$416,094 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $188,071 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$228,023 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,968 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 161.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384992, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 October 1997
Cost report for 1 November 1996 to 31 October 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 15 December 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,389,439 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,095,298 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $294,141 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $160,556 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $454,697 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,075 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 347 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 147.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 360942, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 October 1996
Cost report for 1 November 1995 to 31 October 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 15 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,032,950 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,361,939 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,328,989 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $163,541 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,165,448 (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 | 157 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,356 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 332 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 148.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159536, read from the public cost report file SNFFY1996.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 |
|---|---|---|---|---|
| 37603 EUCLID AVE OH OWNER LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2024 |
| SNF OH HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2024 |
| WELL INTEGRA MASTER JV LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2024 |
| WELL PM HOLDCO JV LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2024 |
| MEHTA, DHARMESH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2024 |
| RAMACCIATO, AMARILYS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2024 |
| WELLTOWER INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2024 |
| WELLTOWER OP, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2024 |
| APT, FREDERICK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2024 |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2024 |
| MITCHELL, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2024 |
| APT, FREDERICK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/01/2024 |
| JERGENSEN, JOSHUA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/01/2024 |
| MITCHELL, JOHN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/01/2024 |
| PACS GROUP, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2024 |
| PACS HOLDINGS, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2024 |
| PROVIDENCE GROUP NH, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2024 |
| RAMACCIATO, AMARILYS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WILLOUGHBY SNF HEALTHCARE, LLC (enrollment ID O20250421002097).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| 37603 EUCLID AVE OH OWNER LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JASON H MURRAY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35.2 | 12/1/2024 | 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. |
| MARK D HANCOCK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35.2 | 12/1/2024 | 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. |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SNF OH HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| WELL INTEGRA MASTER JV LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| WELL PM HOLDCO JV LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 85 | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| AMARILYS RAMACCIATO | 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. | 12/1/2024 | 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. |
| DHARMESH A MEHTA | 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. | 12/1/2024 | 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. |
| WELLTOWER INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| WELLTOWER OP, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| FREDERICK G APT | 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. | 12/1/2024 | 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. |
| JOHN T MITCHELL | 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. | 12/1/2024 | 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. |
| JOSHUA O JERGENSEN | 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. | 12/1/2024 | 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. |
| FREDERICK G APT | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2024 | 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. |
| JOHN T MITCHELL | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2024 | 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. |
| JOSHUA O JERGENSEN | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2024 | 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. |
| AMARILYS RAMACCIATO | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2024 | 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. |
| PACS GROUP, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PACS HOLDINGS, LLC | 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. | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PROVIDENCE GROUP NH, LLC | 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. | 12/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
Changes in ownership
- 1 July 2026: JOHN T MITCHELL no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON H MURRAY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SNF OH HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN T MITCHELL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SNF OH HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 December 2025: BUCKEYE CHAI HOLDING COMPANY LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: CODY S TIMOSKO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: BC OPERATING GROUP LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: BUCKEYE CHAI INVESTORS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DMD MANAGEMENT INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JAMES J TAYLOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FAIGY GOLDBERGER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: YAIR ZUCKERMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MARK D HANCOCK appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: AMARILYS RAMACCIATO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: AMARILYS RAMACCIATO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: WELLTOWER INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: WELL INTEGRA MASTER JV LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PACS GROUP, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PACS GROUP, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: WELLTOWER OP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JOSHUA O JERGENSEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JOSHUA O JERGENSEN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PACS HOLDINGS, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PACS HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DHARMESH A MEHTA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PROVIDENCE GROUP NH, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PROVIDENCE GROUP NH, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: WELL PM HOLDCO JV LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FREDERICK G APT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FREDERICK G APT appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: 37603 EUCLID AVE OH OWNER LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JOHN T MITCHELL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: SNF OH HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 March 2024: ROBERT SHARON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: DAMIAN RODGERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR III HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: ANDREA SYPE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: DENISE CURRY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR II HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR IV HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: LEGACY WILLOUGHBY OPERATING COMPANY, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: KATHRYN H HOOPS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: TIARA BIVINS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: THOMAS R KILE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: MARTIN D ALLEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: BUCKEYE CHAI HOLDING COMPANY LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: CODY S TIMOSKO appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: BC OPERATING GROUP LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: BUCKEYE CHAI INVESTORS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: DMD MANAGEMENT INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: JAMES J TAYLOR appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: FAIGY GOLDBERGER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: YAIR ZUCKERMAN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 15 June 2023: LEGACY WILLOUGHBY OPERATING COMPANY, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Recent changes on this record
- 1 July 2026: JOHN T MITCHELL no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON H MURRAY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SNF OH HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN T MITCHELL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SNF OH HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 6 March 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2025.zip
- 23 January 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 December 2025: BUCKEYE CHAI HOLDING COMPANY LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: CODY S TIMOSKO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: BC OPERATING GROUP LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: BUCKEYE CHAI INVESTORS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DMD MANAGEMENT INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JAMES J TAYLOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FAIGY GOLDBERGER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: YAIR ZUCKERMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: MARK D HANCOCK appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: AMARILYS RAMACCIATO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: AMARILYS RAMACCIATO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: WELLTOWER INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: WELL INTEGRA MASTER JV LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PACS GROUP, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PACS GROUP, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: WELLTOWER OP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JOSHUA O JERGENSEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JOSHUA O JERGENSEN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PACS HOLDINGS, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PACS HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: DHARMESH A MEHTA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PROVIDENCE GROUP NH, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PROVIDENCE GROUP NH, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: WELL PM HOLDCO JV LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FREDERICK G APT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FREDERICK G APT appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: 37603 EUCLID AVE OH OWNER LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JOHN T MITCHELL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 3 August 2023 | 3 August 2023 | 7 | 3 |
| 2 | 21 November 2019 | 21 November 2019 | 8 | 1 |
| 3 | 4 October 2018 | 4 October 2018 | 6 | 11 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
21 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 23 April 2026 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | 1 May 2026 |
| 22 October 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | Yes | Deficient, Provider has date of correction | 31 October 2025 |
| 5 August 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. | D | Yes | Deficient, Provider has date of correction | 29 August 2025 |
| 5 August 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 29 August 2025 |
| 5 August 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 29 August 2025 |
| 5 August 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Yes | Deficient, Provider has date of correction | 29 August 2025 |
| 20 November 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 29 November 2024 |
| 20 November 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Yes | Deficient, Provider has date of correction | 29 November 2024 |
| 20 November 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 29 November 2024 |
| 20 November 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | 29 November 2024 |
| 20 November 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Yes | Deficient, Provider has date of correction | 29 November 2024 |
| 16 September 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 20 September 2024 |
| 7 August 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | 16 September 2024 |
| 3 August 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 | 6 July 2023 |
| 21 November 2019 | 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 | 10 December 2019 |
| 4 October 2018 | Health | F 0555 | Resident Rights Deficiencies | Honor the resident's right to choose his or her attending physician. | D | No | Deficient, Provider has date of correction | 27 November 2018 |
| 4 October 2018 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 27 November 2018 |
| 4 October 2018 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 27 November 2018 |
| 4 October 2018 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | 27 November 2018 |
| 4 October 2018 | 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 | 27 November 2018 |
| 4 October 2018 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 27 November 2018 |
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 |
|---|---|---|---|---|---|
| 22 October 2025 | Fine | $39,840 | 140318 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | WILLOUGHBY SNF HEALTHCARE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1974-05-02 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Lake |
| Telephone Number | 4409515551 |
| Chain Name | PACS GROUP |
| Chain ID | 690 |
| 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 | 157 |
| Average Number of Residents per Day | 132.4 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| 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 Willoughby Post Acute: 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: JOHN T MITCHELL no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Willoughby Post Acute
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 365305.