Velarion Records

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Skilled nursing facility · CMS certification number 365628

S.E.M. HAVEN HEALTH CARE CENTER

MILFORD, Ohio · Medicare and Medicaid

Certified beds, as filed in Care Compare: 93

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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$15,598,325CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,149,325CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,449,000CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,190,469CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$741,469CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,384,269CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$642,800CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $642,800 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components137CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components50,142CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,284CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days3,478CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days34,351CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components41,113CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges114CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges1CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges216CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components331CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days3,478CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days124.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437648, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 August 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$16,080,661CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,388,704CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,691,957CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,271,134CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$579,177CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,836,094CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,256,917CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,256,917 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,224CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components412CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days255.4CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days109.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392006, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 August 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$15,127,982CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,399,297CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,728,685CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,069,268CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$340,583CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$1,065,519CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,406,102CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,406,102 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components44,922CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components267CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days483.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days168.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361939, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$14,851,497CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,320,907CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,530,590CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,532,161CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,571CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,886,687CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,885,116CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,885,116 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components141CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components44,893CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components252CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.87CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days270.89CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days178.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330406, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 August 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$14,501,433CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,909,922CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,591,511CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,432,926CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$841,415CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,262,457CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,421,042CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,421,042 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components141CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components46,740CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components901CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.93CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days148.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days51.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1297150, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 August 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$14,817,890CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,483,327CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,334,563CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,266,218CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$68,345CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,096,671CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,165,016CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,165,016 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components141CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components48,169CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components558CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days149.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days86.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1265214, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 June 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$13,374,957CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,402,679CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,972,278CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,474,781CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$502,503CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$68,920CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$433,583CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$433,583 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components140CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components44,401CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components441CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days148.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days100.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1233527, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 June 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$12,816,353CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,984,627CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,831,726CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,832,153CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$427CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$937,436CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$937,009CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $937,009 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,723CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components337CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days275.03CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days135.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1197087, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 July 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$10,960,330CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,044,815CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,915,515CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,877,831CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$37,684CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$459,298CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$496,982CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $496,982 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,915CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components299CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days452.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days116.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170019, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$11,941,315CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,829,218CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,112,097CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,147,053CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$34,956CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$610,777CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$575,821CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $140,994 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components44,992CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components334CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.16CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days263.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days134.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1137536, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 May 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$11,809,940CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,749,591CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,060,349CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,923,097CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$137,252CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$543,815CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$681,067CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $660,320 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components133CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,046CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components380CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days203.13CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days118.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1124155, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 November 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$11,680,953CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,596,081CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,084,872CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,672,543CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$412,329CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$627,132CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,039,461CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,039,461 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components133CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components46,416CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components388CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days201.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days119.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1113012, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 May 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$11,424,844CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,615,401CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,809,443CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,435,327CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$374,116CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$216,047CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$590,163CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $614,238 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components133CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components56,999CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components140CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,470.42CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days407.14CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1061197, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 May 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$10,325,414CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,192,831CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,132,583CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,990,774CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$141,809CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$281,618CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$423,427CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $117,568 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components133CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,181CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components232CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.49CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days410.03CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days181.81CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1028834, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$9,031,961CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,990,950CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$41,011CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$262,681CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$114,327CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $189,365 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components41,849CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components224CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28.72CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days961CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days186.83CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 432395, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 January 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$8,962,318CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,237,726CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$275,408CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$609,313CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $333,905 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components43,667CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components186CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.62CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days552.29CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days234.77CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 392598, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 May 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$8,722,298CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,771,699CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$49,401CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$304,748CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$51,238CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $204,109 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,025CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components189CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.85CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days578.13CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days232.94CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 370229, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 February 2009.

None of these figures is carried on this report.

CMS report record 333911, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 March 2008.

None of these figures is carried on this report.

CMS report record 305407, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 May 2007.

None of these figures is carried on this report.

CMS report record 276369, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 March 2006.

None of these figures is carried on this report.

CMS report record 245970, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 February 2005.

None of these figures is carried on this report.

CMS report record 208161, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 June 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$7,215,071CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,591,345CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$623,726CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$34,587CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $658,313 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,597CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components182CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days234.05CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 180289, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$6,677,881CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,143,759CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$534,122CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$31,885CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $566,007 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components128CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components43,859CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components265CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.77CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days165.51CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 140826, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 8 February 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$6,211,509CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,806,497CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$405,012CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$31,114CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $436,126 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components128CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,242CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components178CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days248.55CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 46979, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 May 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$6,050,836CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,272,670CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$778,166CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$28,446CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $806,612 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components128CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,019CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components161CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.09CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days273.41CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 46977, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 September 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$5,425,213CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,296,353CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$128,860CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$28,879CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $157,739 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components128CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,500CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components209CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.89CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days203.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 46975, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 12 April 2000.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$5,178,848CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,133,780CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$45,068CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$25,746CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $70,814 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components128CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,141CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components281CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.39CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days356.79CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days157.09CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 46972, read from the public cost report file SNFFY1997.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
DANIEL, KENNETHCONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 06/01/2011
RENNER, JOHNCONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/27/2014
WOLF, BARBARACONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/25/1999
HOWELL, JOYCECORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/21/2015
KUETHE, JOSEPHCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/21/2015
HOWELL, JOYCECORPORATE OFFICERIndividualNOT APPLICABLEsince 07/21/2015
KUETHE, JOSEPHCORPORATE OFFICERIndividualNOT APPLICABLEsince 07/21/2015
MOONEY, CHARLESOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/10/2012
UNITED CHURCH HOMES MANAGEMENT, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/27/2014

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of S E M HAVEN, INC. (enrollment ID O20091022000574).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
BARBARA WOLFIndividualCONTRACTED MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/25/1999
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 RENNERIndividualCONTRACTED MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/27/2014
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KENNETH DANIELIndividualCONTRACTED MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2011
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOSEPH KUETHEIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/21/2015
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.
JOYCE HOWELLIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/21/2015
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.
JOSEPH KUETHEIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/21/2015
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.
JOYCE HOWELLIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/21/2015
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.
CHARLES R MOONEYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/10/2012
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
UNITED CHURCH HOMES MANAGEMENT, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL1001/27/2014
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

  • 1 July 2026: JOHN RENNER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 1 July 2026: BARBARA WOLF no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 1 July 2026: JOHN RENNER appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 1 July 2026: BARBARA WOLF appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 1 September 2025: ROBERT BOOTH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
  • 1 September 2025: ROBERT BOOTH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
  • 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • 13 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • 11 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • 23 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • 27 August 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • 27 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 27 June 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • 28 June 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • 20 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • 25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • 19 May 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • 19 November 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • 29 May 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • 9 May 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
  • 24 September 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • 13 January 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • 21 May 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • 20 February 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • 26 March 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • 1 May 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
  • 27 March 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
  • 18 February 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
  • 8 June 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
  • 7 April 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
  • 8 February 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
  • 3 May 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
  • 5 September 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
  • 12 April 2000: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
111 October 202511 October 202563
214 December 202214 December 202269
322 August 201922 August 201935

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

Deficiencies cited

15 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
11 October 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction30 November 2025
11 October 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correction30 November 2025
11 October 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction30 November 2025
11 October 2025HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.ENoDeficient, Provider has date of correction30 November 2025
11 October 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction30 November 2025
11 October 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction30 November 2025
14 December 2022HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction3 February 2023
14 December 2022HealthF 0646Resident Assessment and Care Planning DeficienciesNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.DNoDeficient, Provider has date of correction3 February 2023
14 December 2022HealthF 0661Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DNoDeficient, Provider has date of correction3 February 2023
14 December 2022HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction3 February 2023
14 December 2022HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction3 February 2023
14 December 2022HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correction3 February 2023
22 August 2019HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction1 October 2019
22 August 2019HealthF 0646Resident Assessment and Care Planning DeficienciesNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.DNoDeficient, Provider has date of correction1 October 2019
22 August 2019HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction1 October 2019

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Other
Legal Business NameS E M HAVEN, INC.
Date First Approved to Provide Medicare and Medicaid Services1984-07-30
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishClermont
Telephone Number5132481270
Chain NameUNITED CHURCH HOMES
Chain ID533
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds93
Average Number of Residents per Day75.7
Overall Rating5
Health Inspection Rating4
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating5
Processing Date2026-08-01

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

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On 1 July 2026: JOHN RENNER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for S.E.M. HAVEN HEALTH CARE CENTER

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