Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 365845

RAE ANN SUBURBAN

WESTLAKE, Ohio · Medicare and Medicaid

Certified beds, as filed in Care Compare: 95

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, as submitted, processed by CMS on 22 May 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$20,250,191CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$9,357,298CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,892,893CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,345,519CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$452,626CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$246,742CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$205,884CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$205,884 (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 components95CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components34,770CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,028CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,911CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days20,995CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components31,934CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges36CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges82CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges317CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components435CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days108.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days73.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1424298, 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 25 April 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$16,734,313CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,452,275CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,282,038CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,301,291CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$19,253CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$143,261CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$124,008CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $124,008 (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 components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,472CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components386CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days108.95CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1420680, 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$13,851,783CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,000,570CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,851,213CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,154,778CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,303,565CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,378CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,302,187CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,302,187 (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 components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,180CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components410CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.02CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days108.49CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days58.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394795, 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 19 October 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$8,329,259CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,666,658CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,662,601CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,325,013CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,662,412CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,838,677CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$176,265CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $176,265 (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 components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,806CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components323CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.59CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days108.49CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days61.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366894, 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 10 November 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$10,263,650CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,259,351CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,004,299CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,809,238CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$804,939CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$969,582CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$164,643CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $164,643 (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 components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,914CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components303CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days120.41CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days88.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1336277, 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 21 January 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$10,161,210CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,570,177CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,591,033CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,226,751CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$364,282CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$88,052CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$452,334CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $452,334 (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 components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,974CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components404CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days153.41CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days69.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1278783, 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 11 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$10,156,357CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,785,992CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,370,365CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,428,944CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$58,579CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$82,841CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$24,262CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $24,262 (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 components113CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,055CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components342CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days167.58CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days84.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1236504, 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 19 July 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$10,493,856CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,809,122CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,684,734CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,260,461CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$424,273CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$51,750CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$476,023CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $476,023 (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 components113CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,869CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components408CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days180.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days73.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1199016, 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 July 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$9,461,289CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,536,950CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,924,339CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,766,509CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$157,830CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$17,288CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$175,118CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $175,118 (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 components113CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,863CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components423CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days143CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.87CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169350, 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 17 January 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$10,197,544CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,960,546CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,236,998CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,531,195CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$294,197CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$99,676CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$194,521CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$194,521 (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 components113CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,232CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components345CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.49CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days132.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days87.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1151253, 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 26 May 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$10,239,844CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,732,826CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,507,018CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,575,595CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$68,577CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$80,216CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$11,639CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $11,639 (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 components113CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,925CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components361CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days124.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days88.43CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1124724, 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 10 December 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$10,384,757CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,731,269CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,653,488CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,180,989CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$472,499CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$59,911CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$532,410CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $532,410 (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 components113CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,806CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components405CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days151.57CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days78.53CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1114456, 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 16 May 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$10,256,903CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,863,252CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,393,651CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,176,865CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$216,786CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,001CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$227,787CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $227,787 (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 components113CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,934CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components386CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.92CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days142.96CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days82.73CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1059968, 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 2 May 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$10,243,419CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,472,456CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,770,963CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,627,320CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$143,643CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$23,253CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$166,896CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $166,896 (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 components113CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,204CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components331CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days164.89CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days97.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1028541, 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 28 September 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$7,611,144CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,542,728CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$68,416CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$37,842CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $106,258 (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 components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,574CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components274CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.66CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days185.03CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days118.88CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 432629, 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 6 May 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$7,280,911CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,110,163CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$170,748CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$47,636CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $218,384 (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 components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,858CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components267CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days46.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days183.05CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days123.06CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398879, 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 27 January 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$7,347,169CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,110,817CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$236,352CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$31,999CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $268,351 (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 components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,156CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components280CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days180.59CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days121.99CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 363042, 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 28 January 2009.

None of these figures is carried on this report.

CMS report record 332812, 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 14 May 2008.

None of these figures is carried on this report.

CMS report record 308912, 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 12 March 2007.

None of these figures is carried on this report.

CMS report record 274498, 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 9 March 2006.

None of these figures is carried on this report.

CMS report record 244653, 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 April 2005.

None of these figures is carried on this report.

CMS report record 214435, 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 24 February 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$5,990,267CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,830,965CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$159,302CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $159,303 (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 components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,819CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components273CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days216.84CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days131.21CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 169443, 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.

None of these figures is carried on this report.

CMS report record 139626, 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 14 February 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$5,073,490CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,766,242CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$307,248CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,590CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $309,838 (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 components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,017CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components257CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.32CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days236.12CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days151.82CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 48276, 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 10 January 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$4,790,854CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,713,466CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$77,388CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$14,968CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $92,356 (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 components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,521CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components442CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.36CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days109.95CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days89.41CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 48274, 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 21 April 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$4,721,371CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,720,015CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,356CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$115,987CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $117,343 (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 components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,788CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components328CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days62.91CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days170.52CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days121.3CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 48272, 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 15 June 2000.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$4,500,219CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,527,390CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$27,171CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$454CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$26,717 (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 components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,945CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components317CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.47CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days165.74CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days126.01CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 48270, 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, settled, processed by CMS on 27 April 1998.

Net income, stated at moderate confidence: $41,402 (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.

CMS report record 48269, 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
RA ASSETS HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 05/17/2022
GEWIRTZ, JONATHAN5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual13%since 05/17/2022
RA INVESTMENT OH LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization35%since 05/17/2022
RA OPCO LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization53%since 05/17/2022
GEWIRTZ, JONATHANADP OF THE SNFIndividualNOT APPLICABLEsince 05/17/2022
KAGANOFF, STEFANIADP OF THE SNFIndividualNOT APPLICABLEsince 05/17/2022
MINIACI, ANTHONYADP OF THE SNFIndividualNOT APPLICABLEsince 05/17/2022
NEIL BAY MANAGEMENT LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/26/2024
GEWIRTZ, JONATHANCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/17/2022
GEWIRTZ, JONATHANCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/17/2022
GEWIRTZ, JONATHANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/17/2022
KAGANOFF, STEFANIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/17/2022
MINIACI, ANTHONYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/17/2022
NEIL BAY MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/17/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of RAE-ANN SUBURBAN INC (enrollment ID O20050609000686).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
RA ASSETS HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1005/17/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
JONATHAN GEWIRTZIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST12.55/17/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RA INVESTMENT OH LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST355/17/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
RA OPCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST52.55/17/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
ANTHONY MINIACIIndividualADP 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.5/17/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JONATHAN GEWIRTZIndividualADP 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.5/17/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEIL BAY MANAGEMENT LLCOrganizationADP 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.12/26/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
STEFANI KAGANOFFIndividualADP 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.5/17/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JONATHAN GEWIRTZIndividualCORPORATE 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.5/17/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JONATHAN GEWIRTZIndividualCORPORATE 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.5/17/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANTHONY MINIACIIndividualOPERATIONAL/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.5/17/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JONATHAN GEWIRTZIndividualOPERATIONAL/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.5/17/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEIL BAY MANAGEMENT LLCOrganizationOPERATIONAL/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.5/17/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
STEFANI KAGANOFFIndividualOPERATIONAL/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.5/17/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
111 June 202511 June 2025169
28 August 20228 August 202265
38 August 20198 August 2019204

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

Deficiencies cited

42 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
16 June 2026HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EYesPast Non-Compliance4 September 2025
16 June 2026HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DYesDeficient, Provider has date of correction17 June 2026
16 June 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction17 June 2026
16 June 2026HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.CYesDeficient, Provider has date of correction17 June 2026
16 June 2026HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EYesDeficient, Provider has date of correction17 June 2026
11 June 2025HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correction12 June 2025
11 June 2025HealthF 0573Resident Rights DeficienciesLet each resident or the resident's legal representative access or purchase copies of all the resident's records.DNoDeficient, Provider has date of correction12 June 2025
11 June 2025HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correction12 June 2025
11 June 2025HealthF 0627Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DYesDeficient, Provider has date of correction12 June 2025
11 June 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correction12 June 2025
11 June 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.DYesDeficient, Provider has date of correction12 June 2025
11 June 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction12 June 2025
11 June 2025HealthF 0847Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.FNoDeficient, Provider has date of correction12 June 2025
11 June 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FYesDeficient, Provider has date of correction12 June 2025
11 June 2025HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FNoDeficient, Provider has date of correction12 June 2025
11 June 2025HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.CNoDeficient, Provider has date of correction12 June 2025
23 January 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correction24 January 2025
15 December 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correction16 December 2024
15 December 2024HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.CYesDeficient, Provider has date of correction16 December 2024
4 November 2024HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DYesDeficient, Provider has date of correction5 November 2024
28 June 2024HealthF 0773Administration DeficienciesProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DYesDeficient, Provider has date of correction30 June 2024
19 March 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction20 March 2024
19 March 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction20 March 2024
29 February 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction1 March 2024
5 December 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesDeficient, Provider has date of correction2 January 2024
5 December 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FYesDeficient, Provider has date of correction3 January 2024
13 November 2023HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction2 January 2024
13 November 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction3 January 2024
13 November 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction2 January 2024
23 August 2023HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DYesDeficient, Provider has date of correction29 August 2023
23 August 2023HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.DYesDeficient, Provider has date of correction29 August 2023
23 August 2023HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FYesDeficient, Provider has date of correction29 August 2023
23 August 2023HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DYesDeficient, Provider has date of correction29 August 2023
23 August 2023HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EYesDeficient, Provider has date of correction29 August 2023
23 August 2023HealthF 0926Environmental DeficienciesHave policies on smoking.CYesDeficient, Provider has plan of correction29 August 2023
2 August 2023HealthF 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.DYesDeficient, Provider has date of correction3 August 2023
2 August 2023HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DYesDeficient, Provider has date of correction3 August 2023
8 August 2022HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction9 August 2022
8 August 2022HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction9 August 2022
8 August 2019HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.ENoDeficient, Provider has date of correction2 October 2019
8 August 2019HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction2 October 2019
8 August 2019HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.ENoDeficient, Provider has date of correction2 October 2019

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
13 November 2023Fine$10,06577947
13 November 2023Payment Denial2 January 20241

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 TypeFor profit - Limited Liability company
Legal Business NameRAE-ANN SUBURBAN INC
Date First Approved to Provide Medicare and Medicaid Services1991-06-06
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishCuyahoga
Telephone Number4408715181
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilNone
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds95
Average Number of Residents per Day81.3
Overall Rating2
Health Inspection Rating1
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating2
Processing Date2026-08-01

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

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One email a day naming what moved on RAE ANN SUBURBAN: the field, the value before, the value after, and the date of the file that first showed it.

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On 22 May 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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The citable document for RAE ANN SUBURBAN

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Ohio at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 365845.