Velarion Records

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Skilled nursing facility · CMS certification number 366169

BLOSSOM NURSING AND REHAB CENTER

SALEM, Ohio · Medicare and Medicaid

Certified beds, as filed in Care Compare: 100

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 6 June 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$14,541,890CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,167,037CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,374,853CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,946,473CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,428,380CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$230,039CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,658,419CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,658,419 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components36,600CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,755CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,497CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days23,304CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components34,556CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges53CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges4CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges86CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components143CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,124.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days241.65CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1428544, 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 18 April 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$13,423,078CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,398,698CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,024,380CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,214,853CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$809,527CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$252,150CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,061,677CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,061,677 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,954CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components207CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,844.8CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days159.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1420704, 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$11,872,294CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,253,283CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,619,011CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,638,030CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$19,019CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$771,174CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$752,155CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $752,155 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,272CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components231CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days456.8CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days131.05CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394821, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

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

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$11,998,227CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,075,096CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,923,131CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,359,162CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$563,969CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$190,448CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$754,417CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $754,417 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,175CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components188CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days834.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days171.14CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330424, 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 26 January 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$11,942,562CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,401,298CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,541,264CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,439,625CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$101,639CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$159,173CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$260,812CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $260,812 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,970CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components221CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days842.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days149.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1341091, 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 14 April 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$11,666,902CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,235,676CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,431,226CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,862,178CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$569,048CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$75CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$569,123CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $569,123 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,173CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components285CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days376.81CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days116.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1282180, 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 31 October 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$11,558,920CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,413,265CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,145,655CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,649,067CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$496,588CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$20,131CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$516,719CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $516,719 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,465CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components262CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days562.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days123.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1245133, 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 13 October 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$11,880,538CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,753,254CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,127,284CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,503,625CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$623,659CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,000CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$641,659CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $641,659 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,846CMS-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 days38.19CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days718.92CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days126.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1212605, 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 2 May 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$11,930,012CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,957,715CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,972,297CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,999,087CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$973,210CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$14,452CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$987,662CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $987,662 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,579CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components265CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.01CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days457.21CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188707, 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 10 November 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$11,275,296CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,796,371CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,478,925CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,869,851CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$609,074CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,555CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$627,629CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $627,629 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,043CMS-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 days46.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days492.45CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days157.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1146211, 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 5 May 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$11,259,861CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,799,001CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,460,860CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,741,249CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$719,611CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$33,205CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$752,816CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $752,816 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,898CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components147CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.71CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days643.54CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days237.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1123372, 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 27 August 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$10,078,337CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,029,665CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,048,672CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,546,161CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$502,511CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$55,697CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$558,208CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $558,208 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,604CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components169CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,088.15CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days192.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108837, 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 18 April 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$10,641,477CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,421,047CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,220,430CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,786,642CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$433,788CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$44,776CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$478,564CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $478,564 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,602CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components173CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,131.47CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days194.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1058265, 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 19 September 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$10,166,156CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,889,971CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,276,185CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,652,070CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$624,115CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$27,786CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$651,901CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $651,901 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,091CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components153CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.97CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,135.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days222.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1048330, 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 13 August 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$7,125,445CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,633,201CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$492,244CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$30,217CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $522,461 (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 components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,515CMS-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 days48.94CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,139.38CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days224.12CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 431312, 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 28 January 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$7,236,724CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,405,844CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$830,880CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$23,782CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $854,662 (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 components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,275CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components178CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.08CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,004.04CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days198.17CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 393335, 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 23 December 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$6,966,974CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,281,417CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$685,557CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,863CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $688,420 (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 components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,258CMS-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 days44.02CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,049.52CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days228.95CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 361624, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 June 2007 to 31 December 2007 — a reporting period of 213 days, not a full year, 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 333988, 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 20 December 2007.

None of these figures is carried on this report.

CMS report record 299176, 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 25 January 2007.

None of these figures is carried on this report.

CMS report record 271123, 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 30 March 2006.

None of these figures is carried on this report.

CMS report record 246372, 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 9 March 2005.

None of these figures is carried on this report.

CMS report record 210415, 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 176141, 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 141553, 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 19 February 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$5,480,494CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,589,928CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$890,566CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$17,503CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $908,069 (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 components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,323CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components233CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days22.85CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days213.27CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days147.31CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 50450, 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 23 March 2001.

Net income, stated at moderate confidence: −$442,004 (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 50448, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 28 November 1998 to 31 December 1998 — a reporting period of 33 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 1 March 2000.

None of these figures is carried on this report.

CMS report record 50446, read from the public cost report file SNFFY1999.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
ORION OPERATING SERVICES LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 08/10/2007
LUMENT REAL ESTATE CAPITAL, LLC5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 05/01/2022
ALBRIGHT ROSS, SUSANADP OF THE SNFIndividualNOT APPLICABLEsince 01/02/2018
AMICUS CAPITAL HOLDINGS INCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/18/2021
AMICUS CAPITAL HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 08/18/2021
AMICUS PROPERTIES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2021
ANDERSON, CURTADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2025
ATRIUM CENTERS MANAGEMENT LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 09/18/2024
BROAD RIVER REHABILITATIONADP OF THE SNFOrganizationNOT APPLICABLEsince 09/01/2021
CHERRY, JILLADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2025
DEMIDOVICH, JAMESADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025
EVERGREEN TWO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/24/2026
FORVIS MAZARS LLPADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2023
HELLER, DAVIDADP OF THE SNFIndividualNOT APPLICABLEsince 09/18/2024
JOHNSON, CINDYADP OF THE SNFIndividualNOT APPLICABLEsince 09/18/2024
LEADERSTAT LTDADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2025
NORQUIST, JACKADP OF THE SNFIndividualNOT APPLICABLEsince 09/17/2018
OCS REAL ESTATE HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2021
OMNICARE LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2025
OSTRANDER, GLORIAADP OF THE SNFIndividualNOT APPLICABLEsince 04/07/2025
PAREDES, MIGUELADP OF THE SNFIndividualNOT APPLICABLEsince 08/18/2021
PLANTE & MORAN PLLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2025
RUSYN, LORIADP OF THE SNFIndividualNOT APPLICABLEsince 03/11/2019
BAILEY, ESSELCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2021
FINNEY, DONALDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2021
ALBRIGHT ROSS, SUSANCORPORATE OFFICERIndividualNOT APPLICABLEsince 12/24/2017
AMICUS CAPITAL HOLDINGS INCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 01/01/2021
AMICUS CAPITAL HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP TRUSTINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 08/18/2021
ATRIUM CENTERS, LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2007
PAREDES, MIGUELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/08/2021
ALBRIGHT ROSS, SUSANINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/03/2026
HELLER, DAVIDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/18/2024
JOHNSON, CINDYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/18/2024
ALBRIGHT ROSS, SUSANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/02/2018
ANDERSON, CURTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2025
ATRIUM CENTERS MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/18/2024
CHERRY, JILLOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2025
DEMIDOVICH, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
HELLER, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/18/2024
JOHNSON, CINDYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/18/2024
NORQUIST, JACKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/17/2018
ORION OPERATING SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/16/2007
OSTRANDER, GLORIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2025
RUSYN, LORIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/11/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ORION BLOSSOM LLC (enrollment ID O20070920000257).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ORION OPERATING SERVICES LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1008/10/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
AMICUS CAPITAL HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1008/18/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
LUMENT REAL ESTATE CAPITAL, LLCOrganization5% OR GREATER MORTGAGE INTEREST765/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
AMICUS CAPITAL HOLDINGS INCOrganizationADP 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.8/18/2021
Private equity company: No
Real estate investment trust: No
Holding company: Yes
AMICUS CAPITAL HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP TRUSTOrganizationADP 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.8/18/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
AMICUS PROPERTIES 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.1/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
ATRIUM CENTERS 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.9/18/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
BROAD RIVER REHABILITATIONOrganizationADP 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.9/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
CINDY JOHNSONIndividualADP 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.9/18/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CURT ANDERSONIndividualADP 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.8/1/2025
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.
DAVID HELLERIndividualADP 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.9/18/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EVERGREEN TWO 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.3/24/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
FORVIS MAZARS LLPOrganizationADP 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.6/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
GLORIA OSTRANDERIndividualADP 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.4/7/2025
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.
JACK NORQUISTIndividualADP 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.9/17/2018
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.
JAMES CHARLES DEMIDOVICHIndividualADP 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.5/1/2025
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.
JILL CHERRYIndividualADP 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.6/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LEADERSTAT LTDOrganizationADP 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.1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
LORI RUSYNIndividualADP 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.3/11/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MIGUEL PAREDESIndividualADP 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.8/18/2021
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.
OCS REAL ESTATE HOLDINGS 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.1/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
OMNICARE 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.1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
PLANTE & MORAN PLLCOrganizationADP 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.1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SUSAN ALBRIGHT ROSSIndividualADP 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.1/2/2018
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.
DONALD D FINNEYIndividualCORPORATE 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.1/1/2021
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.
ESSEL W BAILEYIndividualCORPORATE 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.1/1/2021
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.
AMICUS CAPITAL HOLDINGS INCOrganizationINDIRECT OWNERSHIP INTEREST1001/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: Yes
AMICUS CAPITAL HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP TRUSTOrganizationINDIRECT OWNERSHIP INTEREST1008/18/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
ATRIUM CENTERS, LLCOrganizationINDIRECT OWNERSHIP INTEREST10010/1/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
MIGUEL PAREDESIndividualINDIRECT OWNERSHIP INTEREST1008/8/2021
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.
CINDY JOHNSONIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.9/18/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID HELLERIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.9/18/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SUSAN ALBRIGHT ROSSIndividualOFFICERCMS 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.12/24/2017
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.
ATRIUM CENTERS 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.9/18/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
CINDY JOHNSONIndividualOPERATIONAL/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.9/18/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CURT ANDERSONIndividualOPERATIONAL/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.8/1/2025
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.
DAVID HELLERIndividualOPERATIONAL/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.9/18/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GLORIA OSTRANDERIndividualOPERATIONAL/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.8/1/2025
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.
JACK NORQUISTIndividualOPERATIONAL/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.9/17/2018
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.
JAMES CHARLES DEMIDOVICHIndividualOPERATIONAL/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.5/1/2025
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.
JILL CHERRYIndividualOPERATIONAL/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.6/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LORI RUSYNIndividualOPERATIONAL/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.3/11/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ORION OPERATING SERVICES 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.5/16/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
SUSAN ALBRIGHT ROSSIndividualOPERATIONAL/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.1/2/2018
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.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
111 December 202511 December 202544
29 December 20229 December 202293
39 January 20209 January 202096

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

Deficiencies cited

22 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
8 May 2026HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correction27 May 2026
11 December 2025HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction2 January 2026
11 December 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction2 January 2026
11 December 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction2 January 2026
25 March 2024HealthF 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 correction4 April 2024
6 September 2023HealthF 0568Resident Rights DeficienciesProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DYesDeficient, Provider has date of correction12 September 2023
6 September 2023HealthF 0569Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DYesDeficient, Provider has date of correction12 September 2023
9 December 2022HealthF 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 correction5 January 2023
9 December 2022HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DNoDeficient, Provider has date of correction5 January 2023
9 December 2022HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction5 January 2023
9 December 2022HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction5 January 2023
9 December 2022HealthF 0685Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.DNoDeficient, Provider has date of correction5 January 2023
9 December 2022HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GNoDeficient, Provider has date of correction5 January 2023
9 December 2022HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction5 January 2023
9 December 2022HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DNoDeficient, Provider has date of correction5 January 2023
9 December 2022HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction5 January 2023
9 January 2020HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction21 January 2020
9 January 2020HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction21 January 2020
9 January 2020HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction21 January 2020
9 January 2020HealthF 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.FNoDeficient, Provider has date of correction21 January 2020
9 January 2020HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DNoDeficient, Provider has date of correction21 January 2020
9 January 2020HealthF 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 correction21 January 2020

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameORION BLOSSOM LLC
Date First Approved to Provide Medicare and Medicaid Services1998-11-24
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishColumbiana
Telephone Number3303373033
Chain NameATRIUM CENTERS
Chain ID54
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds100
Average Number of Residents per Day87.9
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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On 1 July 2026: OMNICARE LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for BLOSSOM NURSING AND REHAB CENTER

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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