Velarion Records

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Skilled nursing facility · CMS certification number 365741

ASHTABULA COUNTY NURSING HOME

KINGSVILLE, Ohio · Medicare and Medicaid

Certified beds, as filed in Care Compare: 133

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 6 May 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$13,781,560CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,684,958CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,096,602CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,029,936CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$933,334CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$67,900CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$865,434CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$865,434 (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 components133CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components48,678CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,991CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days23,410CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days12,769CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components40,170CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges122CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges25CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges95CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components242CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.71CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days936.4CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days165.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1449050, 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 6 February 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$12,494,947CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$490,464CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,004,483CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,754,429CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$749,946CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$819,624CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$69,678CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $69,678 (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 components133CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,907CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components259CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,318.47CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days154.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403315, 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 13 September 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$10,910,897CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$516,013CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,394,884CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,547,828CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,152,944CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$750,628CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$402,316CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$402,316 (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 components133CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,561CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components216CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,926.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days173.89CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394790, 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 12 October 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$10,666,393CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$644,259CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,022,134CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,777,302CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$755,168CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$453,748CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$301,420CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$301,420 (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 components133CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,309CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components200CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,383.82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days186.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366612, 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 3 November 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$10,746,921CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,052,930CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,693,991CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,814,402CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,120,411CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$984,165CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$136,246CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$136,246 (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 components133CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,587CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components196CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,353.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days191.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1336020, 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 15 July 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$11,734,806CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,485,872CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,248,934CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,195,447CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$946,513CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$85,869CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$860,644CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$860,644 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components133CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,067CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components218CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,058.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days179.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1288089, 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 6 March 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$12,683,370CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,647,289CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,036,081CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,965,883CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$70,198CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$75,161CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$145,359CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $145,359 (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 components133CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,561CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components242CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days924.65CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days171.74CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252008, 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 17 April 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$12,241,936CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,850,169CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,391,767CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,122,230CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$269,537CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$425,507CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$695,044CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $695,044 (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 components147CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,131CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components255CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,288.47CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days157.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1222738, 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 17 October 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$12,231,336CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,535,068CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,696,268CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,436,705CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$259,563CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$52,246CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$311,809CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $311,809 (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 components163CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,046CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components307CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days924.64CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days130.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1177035, 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 16 March 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$11,700,137CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,892,699CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,807,438CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,702,238CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$894,800CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$73,297CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$821,503CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$821,503 (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 components163CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,059CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components280CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days699.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days135.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1154628, 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 24 March 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$11,261,933CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,898,918CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,363,015CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,878,366CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$515,351CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$99,807CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$415,544CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$415,544 (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 components163CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,676CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components272CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days727.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days153.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1121157, 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 20 August 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$11,493,049CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,966,788CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,526,261CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,913,480CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$387,219CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,755,010CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,367,791CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,367,791 (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 components168CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,449CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components282CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days628.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days146.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108388, 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$11,532,469CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,924,967CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,607,502CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,869,170CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$261,668CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$48,208CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$213,460CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$213,460 (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 components177CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components44,844CMS-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 days35.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days913.23CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days193.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1061200, 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 24 January 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$11,566,782CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$944,741CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,622,041CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,833,614CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$211,573CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$14,346CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$197,227CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$197,227 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components177CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,739CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components292CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.74CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days599.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days156.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1023767, 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 August 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$10,820,550CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,144,004CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$323,454CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$31,738CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$291,716 (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 components177CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,124CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components277CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.93CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days546.26CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days159.29CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 431863, 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 19 May 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$11,690,656CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,735,235CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$44,579CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$74,881CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $30,302 (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 components177CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components48,984CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components268CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,044.53CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days182.78CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 399943, 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 19 November 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$11,063,646CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,189,685CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$126,039CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$117,772CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$8,267 (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 components177CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components49,826CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components225CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,007.19CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days221.45CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 359410, 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 333967, 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 305414, 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 15 March 2007.

None of these figures is carried on this report.

CMS report record 274866, 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 1 February 2006.

None of these figures is carried on this report.

CMS report record 242034, 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 16 March 2005.

None of these figures is carried on this report.

CMS report record 211317, 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 12 May 2004.

None of these figures is carried on this report.

CMS report record 176108, 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$10,347,847CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,654,138CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$306,291CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$92,564CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$213,727 (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 components192CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,459CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components287CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.53CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days544.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days217.63CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 138999, 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$9,745,980CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,168,679CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$422,699CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$166,748CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$255,951 (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 components210CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components67,416CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components249CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.52CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days636CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days270.75CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 47617, 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 21 March 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$9,213,983CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,063,771CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$849,788CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$484,396CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$365,392 (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 components210CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components72,928CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components215CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days711.72CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days339.2CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 47615, 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 17 August 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$9,516,940CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,817,059CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$300,119CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$402,364CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $102,245 (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 components295CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components72,527CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components210CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days563.19CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days345.37CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 47613, 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, settled, processed by CMS on 9 June 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$9,475,727CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,696,368CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$220,641CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$56,426CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$6,054CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$170,269 (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 components295CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components80,450CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components184CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44.11CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days840.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days437.23CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 47611, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 12 August 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$9,391,911CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,417,515CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$25,604CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$49,183CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$495CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $23,084 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components295CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components90,020CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components154CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.7CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,126.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days584.55CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 47608, 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.

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
COUNTY OF ASHTABULA5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 06/21/1989
AL-SHAHED, ABDALLAHADP OF THE SNFIndividualNOT APPLICABLEsince 07/05/2025
COUNTY OF ASHTABULAADP OF THE SNFOrganizationNOT APPLICABLEsince 08/11/2025
DUBIC, GEORGEADP OF THE SNFIndividualNOT APPLICABLEsince 10/12/2021
FURMAN, DIANAADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2016
SALLEE, DONNAADP OF THE SNFIndividualNOT APPLICABLEsince 04/19/2007
TOIKKANEN, TAMMYADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/1999
DUCRO, JCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/02/2017
KOZLOWSKI, CASEYCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/02/2018
WHITTINGTON, KATHRYNCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/03/2017
CADOVEC, REGINAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/27/2023
COUNTY OF ASHTABULAOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/21/1989
CRICK, ROBINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/02/2023
DUBIC, GEORGEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/12/2021
FREY, MARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/03/2025
FURMAN, DIANAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2016
NEARHOOF, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/17/2023
SALLEE, DONNAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/19/2007
TOIKKANEN, TAMMYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/1999
WEBER, ROSEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/20/2004
COUNTY OF ASHTABULATRUSTEE OF THE SNFOrganizationNOT APPLICABLEsince 06/21/1989
DUCRO, JTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/02/2017
KOZLOWSKI, CASEYTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/02/2017
WHITTINGTON, KATHRYNTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/02/2017

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of COUNTY OF ASHTABULA (enrollment ID O20100908000508).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
COUNTY OF ASHTABULAOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/21/1989
Private equity company: No
Real estate investment trust: No
Holding company: No
ABDALLAH AL-SHAHEDIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/5/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
COUNTY OF ASHTABULAOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/11/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
DIANA FURMANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2016
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.
DONNA SALLEEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/19/2007
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GEORGE DUBICIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/12/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TAMMY TOIKKANENIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/1999
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.
CASEY KOZLOWSKIIndividualCORPORATE OFFICER33.31/2/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
J DUCROIndividualCORPORATE OFFICER33.31/2/2017
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.
KATHRYN WHITTINGTONIndividualCORPORATE OFFICER33.31/3/2017
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.
COUNTY OF ASHTABULAOrganizationOPERATIONAL/MANAGERIAL CONTROL1006/21/1989
Private equity company: No
Real estate investment trust: No
Holding company: No
DAVID NEARHOOFIndividualOPERATIONAL/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.11/17/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DIANA FURMANIndividualOPERATIONAL/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.5/1/2016
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.
DONNA SALLEEIndividualOPERATIONAL/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.4/19/2007
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GEORGE DUBICIndividualOPERATIONAL/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.10/12/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARY FREYIndividualOPERATIONAL/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.3/3/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
REGINA CADOVECIndividualOPERATIONAL/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.3/27/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBIN CRICKIndividualOPERATIONAL/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.10/2/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROSE WEBERIndividualOPERATIONAL/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.9/20/2004
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TAMMY TOIKKANENIndividualOPERATIONAL/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.8/1/1999
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.
CASEY KOZLOWSKIIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/2/2017
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.
COUNTY OF ASHTABULAOrganizationTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/1989
Private equity company: No
Real estate investment trust: No
Holding company: No
J DUCROIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/2/2017
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.
KATHRYN WHITTINGTONIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/2/2017
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
131 August 202331 August 202326
25 December 20195 December 201975
323 October 201823 October 2018114

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

Deficiencies cited

20 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
25 February 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesPast Non-Compliance
4 November 2024HealthF 0624Resident Rights DeficienciesPrepare residents for a safe transfer or discharge from the nursing home.DYesDeficient, Provider has date of correction30 November 2024
31 August 2023HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.FNoDeficient, Provider has date of correction6 October 2023
5 December 2019HealthF 0602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.DNoDeficient, Provider has date of correction23 January 2020
5 December 2019HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correction23 January 2020
5 December 2019HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction23 January 2020
5 December 2019HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GNoDeficient, Provider has date of correction23 January 2020
5 December 2019HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correction23 January 2020
5 December 2019HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction23 January 2020
23 October 2018HealthF 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 correction5 November 2018
23 October 2018HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DNoDeficient, Provider has date of correction5 November 2018
23 October 2018HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction5 November 2018
23 October 2018HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correction5 November 2018
23 October 2018HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GNoDeficient, Provider has date of correction5 November 2018
23 October 2018HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.ENoDeficient, Provider has date of correction5 November 2018
23 October 2018HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correction5 November 2018
23 October 2018HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.JNoDeficient, Provider has date of correction5 November 2018
23 October 2018HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction5 November 2018
23 October 2018HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction5 November 2018
23 October 2018HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction5 November 2018

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
25 February 2026Fine$13,870141620

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Other
Legal Business NameCOUNTY OF ASHTABULA
Date First Approved to Provide Medicare and Medicaid Services1989-06-21
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishAshtabula
Telephone Number4402242161
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds133
Average Number of Residents per Day113.5
Overall Rating4
Health Inspection Rating4
QM Rating3
Long-Stay QM Rating4
Short-Stay QM Rating3
Processing Date2026-08-01

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

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The citable document for ASHTABULA COUNTY NURSING HOME

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