Velarion Records

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Skilled nursing facility · CMS certification number 366271

The Pavilion at Canal Fulton for Nursing and Rehab

CANAL FULTON, Ohio · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

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 15 December 2024 — a reporting period of 349 days, on form CMS-2540-10, settled, processed by CMS on 12 March 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$5,390,329CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$933,066CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,457,263CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,011,361CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$554,098CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$119,722CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$434,376CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$434,376 (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 components60CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,000CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days363CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days11,567CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days4,145CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components16,075CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges1CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges106CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges27CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components134CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days363CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days109.12CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days119.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448495, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

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

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$5,336,564CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$410,548CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,926,016CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,507,238CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$581,222CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$239,279CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$341,943CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$341,943 (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 components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,143CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components106CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days78.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days365.42CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days152.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392028, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

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

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,984,777CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$542,603CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,442,174CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,431,174CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$989,000CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$885,014CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$103,986CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$103,986 (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 components88CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,669CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components48CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days61.93CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days191.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days347.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361974, 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$4,398,526CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$577,983CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,820,543CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,014,787CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,194,244CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,174,778CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$19,466CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$19,466 (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 components88CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,868CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components132CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.47CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days88.94CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days105.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366917, 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 2 February 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,192,973CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$997,881CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,195,092CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,972,668CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$777,576CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$897,666CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$120,090CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $120,090 (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 components88CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,014CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components290CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days81.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1341620, 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 25 June 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,398,967CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$780,478CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,618,489CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,326,924CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$291,565CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$101,340CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$392,905CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $392,905 (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 components88CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,291CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components121CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days61.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days66.69CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days192.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1287514, 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$5,793,145CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$785,487CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,007,658CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,205,936CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$198,278CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$125,480CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$72,798CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$72,798 (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 components88CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,045CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components108CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days137.95CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days204.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1236540, 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$5,937,529CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$715,746CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,221,783CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,349,750CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$127,967CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$23,118CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$104,849CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$104,849 (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 components91CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,843CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components118CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days70CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days274.72CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days193.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1201226, 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 8 June 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$5,366,205CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$762,421CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,603,784CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,591,010CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$12,774CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$31,669CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$44,443CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $44,443 (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 components91CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,720CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components89CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days62.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days235.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days232.81CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1160102, 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 9 March 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$4,262,617CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$351,275CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,613,892CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,562,297CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$51,595CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$29,469CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$81,064CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $81,064 (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 components91CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,529CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components83CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days61.87CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days243.61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days259.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1154158, 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 30 September 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$3,926,638CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,926,638CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,577,189CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$650,551CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$709,810CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$59,259CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $59,259 (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 components81CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,243CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components116CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days79.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days239.17CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days165.89CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1143798, 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 24 September 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$4,661,197CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$31,008CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,630,189CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,724,923CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$94,734CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$68,768CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$25,966CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$25,966 (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 components81CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,998CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components165CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days69.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days162.82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days133.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1110738, 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 23 July 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$4,180,896CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,180,896CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,366,283CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$185,387CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,199CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$184,188CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$184,188 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,803CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components48CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days139.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days637CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days475.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1070919, 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 23 July 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$4,230,860CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,230,860CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,297,155CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$66,295CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,838CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$62,457CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$62,457 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,934CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components45CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days124.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days778.52CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days531.87CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1042732, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

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

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$4,195,811CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,274,853CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$79,042CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$225CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$78,817 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,684CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components70CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,019.6CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days338.34CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 432459, 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 31 March 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,165,088CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,281,463CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$116,375CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$254CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$116,121 (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 components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,963CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components61CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days81.53CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days849.4CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days360.05CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 396678, 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 12 May 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,888,060CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,093,089CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$205,029CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,382CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$203,647 (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 components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,808CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components66CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days74.49CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days2,616.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days406.18CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 369508, 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 11 February 2009.

None of these figures is carried on this report.

CMS report record 333452, 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 18 March 2008.

None of these figures is carried on this report.

CMS report record 304886, 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 22 March 2007.

None of these figures is carried on this report.

CMS report record 275680, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

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

None of these figures is carried on this report.

CMS report record 248272, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 April 2005.

None of these figures is carried on this report.

CMS report record 213272, read from the public cost report file SNFFY2003.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
CANAL GROUP HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 12/16/2024
ACM ASHEM HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization56%since 12/16/2024
EVANS, TYLER5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 02/06/2025
SCHONFELD, SIMCHA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual23%since 02/06/2025
BANKWELLADP OF THE SNFOrganizationNOT APPLICABLEsince 02/06/2025
BIROS, KENNETHADP OF THE SNFIndividualNOT APPLICABLEsince 12/16/2024
GUDLA, JYOTHIADP OF THE SNFIndividualNOT APPLICABLEsince 12/16/2024
HIGH MILL HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/16/2024
HIRSCH, SHAYEADP OF THE SNFIndividualNOT APPLICABLEsince 02/06/2025
KODRIN, MATTHEWADP OF THE SNFIndividualNOT APPLICABLEsince 12/16/2024
NPNH1 LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/16/2024
QUALITY HEALTHCARE RESOURCESADP OF THE SNFOrganizationNOT APPLICABLEsince 02/06/2025
SCHONFELD, SIMCHAADP OF THE SNFIndividualNOT APPLICABLEsince 02/06/2025
THE PAVILION MANAGMENT COMPANY LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/06/2025
LOEB, CHAVIINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 07/14/2025
MOERMAN, RAFAELMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 12/16/2024
CANAL GROUP HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/16/2024
KODRIN, MATTHEWOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/16/2024
MOERMAN, RAFAELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/16/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PAVILION AT CANAL FULTON LLC (enrollment ID O20250714001054).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
CANAL GROUP HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10012/16/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ACM ASHEM HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST55.512/16/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
EZRA BIRNBAUMIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST1512/16/2024
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.
NPNH1 LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1512/16/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
RAFAEL MOERMANIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST55.512/16/2024
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.
SHAYE HIRSCHIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST22.512/16/2024
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.
SHS KEREN LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST512/16/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
SIMCHA SCHONFELDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST22.52/6/2025
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.
TYLER EVANSIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST22/6/2025
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.
BANKWELLOrganizationADP 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.2/6/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
HIGH MILL 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.12/16/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
JYOTHI GUDLAIndividualADP 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.12/16/2024
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.
KENNETH J BIROSIndividualADP 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.12/16/2024
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.
MATTHEW KODRINIndividualADP 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.12/16/2024
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.
NPNH1 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.12/16/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
QUALITY HEALTHCARE RESOURCESOrganizationADP 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.2/6/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SHAYE HIRSCHIndividualADP 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.2/6/2025
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.
SIMCHA SCHONFELDIndividualADP 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.2/6/2025
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.
THE PAVILION MANAGMENT COMPANY 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.2/6/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
RAFAEL MOERMANIndividualMANAGING 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.12/16/2024
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.
CANAL GROUP HOLDINGS 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.12/16/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
MATTHEW KODRINIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/16/2024
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.
RAFAEL MOERMANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/16/2024
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.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
118 June 202518 June 2025914
27 December 20227 December 202239
318 December 201918 December 2019511

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

Deficiencies cited

17 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
18 June 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction19 August 2025
18 June 2025HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correction19 August 2025
18 June 2025HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correction19 August 2025
18 June 2025HealthF 0637Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionDNoDeficient, Provider has date of correction19 August 2025
18 June 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correction19 August 2025
18 June 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction19 August 2025
18 June 2025HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correction19 August 2025
18 June 2025HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyFNoDeficient, Provider has date of correction19 August 2025
18 June 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction19 August 2025
31 July 2024HealthF 0602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.DYesPast Non-Compliance19 March 2024
7 December 2022HealthF 0569Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DNoDeficient, Provider has date of correction11 January 2023
7 December 2022HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.DNoDeficient, Provider has date of correction11 January 2023
7 December 2022HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.FNoDeficient, Provider has date of correction11 January 2023
18 December 2019HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction3 February 2020
18 December 2019HealthF 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.FNoDeficient, Provider has date of correction3 February 2020
18 December 2019HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction3 February 2020
18 December 2019HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction3 February 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 NamePAVILION AT CANAL FULTON LLC
Date First Approved to Provide Medicare and Medicaid Services2003-05-13
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishStark
Telephone Number3308544545
Chain NameTHE PAVILION GROUP
Chain ID514
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds60
Average Number of Residents per Day38.2
Overall Rating2
Health Inspection Rating3
QM Rating4
Long-Stay QM Rating4
Processing Date2026-08-01

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

Get an email when this record changes

One email a day naming what moved on The Pavilion at Canal Fulton for Nursing and Rehab: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: TYLER EVANS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for The Pavilion at Canal Fulton for Nursing and Rehab

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