Skilled nursing facility · CMS certification number 375109
HERITAGE VILLA CARE & REHAB CENTER
BARTLESVILLE, Oklahoma · 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 18 December 2023 to 31 December 2024 — a reporting period of 379 days, on form CMS-2540-10, settled, processed by CMS on 6 March 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,651,139 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $270,669 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,380,470 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,722,512 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $657,958 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $158,760 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $816,718 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $816,718 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 38,000 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,736 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 23,294 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,400 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 30,430 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 102 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 43 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 109.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 228.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 179 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448366, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 17 December 2023
Cost report for 1 July 2023 to 17 December 2023 — a reporting period of 169 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,288,180 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $342,245 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,945,935 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,032,144 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$86,209 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $188 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$86,021 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$86,021 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,906 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 84.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 93.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445630, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,298,063 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $357,661 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,940,402 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,077,307 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,136,905 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,176,728 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $39,823 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $39,823 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,720 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 169 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 215.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361586, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 October 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,558,776 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $275,967 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,282,809 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,783,550 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$500,741 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $618,916 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $118,175 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $118,175 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,594 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 153 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 242.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335137, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 May 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,154,976 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $868,182 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,286,794 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,331,691 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$44,897 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,296 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$15,601 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$15,601 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,683 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 223.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 158.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1316166, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 December 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,477,465 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $814,761 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,662,704 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,560,253 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $102,451 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,187 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $115,638 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $115,638 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,005 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 191 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 331.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1248741, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,350,537 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$156,494 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,507,031 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,479,629 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $27,402 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$9,566 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $17,836 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $17,836 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,838 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 470.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 194.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217633, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 January 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,460,026 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $152,105 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,307,921 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,629,956 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$322,035 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,080 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$311,955 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$311,955 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,861 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 480.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182418, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 June 2015 to 30 June 2016 — a reporting period of 395 days, on form CMS-2540-10, settled, processed by CMS on 12 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,898,869 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $431,303 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,467,566 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,101,701 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $365,865 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$244 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $365,621 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $365,621 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,373 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,446.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 264.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179889, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 May 2015
Cost report for 1 July 2014 to 31 May 2015 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on 14 November 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,721,768 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $927,075 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,794,693 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,277,108 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $517,585 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,952 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $534,537 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $534,537 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,871 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 299.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178384, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,892,705 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,892,705 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,547,291 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $345,414 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,968 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $361,382 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $361,382 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,198 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 502.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 192.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1091969, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,728,106 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,728,106 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,505,101 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $223,005 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,668 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $240,673 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $240,673 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,784 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 169 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 383.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1092041, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 April 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,239,191 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,239,191 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,878,396 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $360,795 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,169 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $379,964 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $379,964 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,487 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 199 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 345.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058983, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,316,061 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,794,658 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $521,403 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,154 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $538,557 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,955 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 598.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 168.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434806, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 October 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,974,923 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,659,000 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $315,923 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,879 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $331,802 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,669 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 166 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 486 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 178.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418991, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 February 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,485,641 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,137,250 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $348,391 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,989 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $362,380 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,025 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 662.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 164.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363670, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 December 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,236,500 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,883,061 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $353,439 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,611 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $366,050 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,957 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 231 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 400.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 125.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 330381, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,833,876 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,562,432 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $271,444 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,194 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $281,638 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,509 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 188 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 564.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 146.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302258, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 January 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,600,302 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,563,342 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $36,960 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,110 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $49,070 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,041 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 169 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 428.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 171.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271257, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 January 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,559,603 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,556,945 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,658 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,140 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $25,798 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,970 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 203 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 416.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 142.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241741, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 January 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,552,386 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,306,470 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $245,916 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,739 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $257,655 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,028 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 181 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 343.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 171.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205140, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 30 June 2003
Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,234,863 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,994,375 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $240,488 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,762 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $258,250 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,728 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 374.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 162.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 215293, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 30 June 2002
Cost report for 31 July 2001 to 30 June 2002 — a reporting period of 334 days, on form CMS-2540-96, settled, processed by CMS on 18 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,308,052 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,574,288 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$266,236 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,043 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$250,193 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,497 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 307.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 162.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 176721, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 30 June 2000
Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 3 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,044,419 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,888,311 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $156,108 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,575 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $185,683 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,933 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 98.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 796.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 672.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 134612, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 30 June 1999
Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 January 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,521,155 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,098,736 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$577,581 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,937 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$547,644 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,089 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 514.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 345.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 92849, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 30 June 1998
Cost report for 1 January 1998 to 30 June 1998 — a reporting period of 180 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 18 December 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,431,841 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,274,418 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $157,423 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $157,423 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,217 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 317.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 249.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 92847, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 August 1997 to 31 December 1997 — a reporting period of 152 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 24 June 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $985,984 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,114,410 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$128,426 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,964 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$113,462 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,882 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 688.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 390.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 92845, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| OK SNF HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | since 12/18/2023 |
| OK SNF INVESTMENTS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | since 12/18/2023 |
| JFB OK TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 50% | since 12/18/2023 |
| SOUTHEAST VENTURES TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 48% | since 12/18/2023 |
| FRIEDMAN, NAFTALI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/18/2023 |
| ROVENSTINE, PEGGY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 12/18/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HERITAGE VILLA HEALTHCARE LLC (enrollment ID O20240404000555).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| OK SNF HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 12/18/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| OK SNF INVESTMENTS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 12/18/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JFB OK TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 12/18/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| SOUTHEAST VENTURES TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48 | 12/18/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| NAFTALI FRIEDMAN | Individual | OFFICER | 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. | 12/18/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ALLEN KOSS | Individual | OTHER | 50 | 12/18/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| YAAKOV KLEIN | Individual | OTHER | 48 | 12/18/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PEGGY L ROVENSTINE | Individual | W-2 MANAGING EMPLOYEE | 100 | 12/18/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: ALLEN KOSS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ALLEN KOSS appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 August 2024: BHCP HERITAGE VILLA OP CO LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: JESSICA HUDSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: TRANSITION HEALTH SERVICES-OK, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: BHCP HERITAGE VILLA SPONSOR, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: BHCP HERITAGE VILLA INVESTORS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: BHCP HERITAGE VILLA HOLD CO, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: ISAAC S DOLE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: YAAKOV KLEIN appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: PEGGY L ROVENSTINE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: SOUTHEAST VENTURES TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: OK SNF INVESTMENTS, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: NAFTALI FRIEDMAN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: OK SNF HOLDINGS, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: JFB OK TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: ALLEN KOSS appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
Recent changes on this record
- 1 July 2026: ALLEN KOSS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ALLEN KOSS appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 6 March 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 24 December 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 6 December 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 1 August 2024: BHCP HERITAGE VILLA OP CO LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: JESSICA HUDSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: TRANSITION HEALTH SERVICES-OK, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: BHCP HERITAGE VILLA SPONSOR, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: BHCP HERITAGE VILLA INVESTORS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: BHCP HERITAGE VILLA HOLD CO, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: ISAAC S DOLE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: YAAKOV KLEIN appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: PEGGY L ROVENSTINE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: SOUTHEAST VENTURES TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: OK SNF INVESTMENTS, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: NAFTALI FRIEDMAN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: OK SNF HOLDINGS, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: JFB OK TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: ALLEN KOSS appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 9 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 17 October 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 17 May 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 27 December 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 24 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 18 January 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 12 December 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 14 November 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 28 May 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 28 May 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 29 April 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 10 June 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 21 October 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 9 February 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 16 December 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 14 February 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 29 January 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 30 January 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 27 April 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- 21 January 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 14 January 2025 | 14 January 2025 | 10 | 2 |
| 2 | 22 September 2023 | 22 September 2023 | 14 | 1 |
| 3 | 28 April 2021 | 28 April 2021 | 26 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
50 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 14 August 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 28 August 2025 |
| 14 August 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 28 August 2025 |
| 14 August 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Yes | Deficient, Provider has date of correction | 28 August 2025 |
| 14 August 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 28 August 2025 |
| 14 August 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | 28 August 2025 |
| 14 January 2025 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | 28 January 2025 |
| 14 January 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 28 January 2025 |
| 14 January 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | 28 January 2025 |
| 14 January 2025 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | 28 January 2025 |
| 14 January 2025 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 28 January 2025 |
| 22 September 2023 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Yes | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Yes | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | No | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | E | Yes | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Yes | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 2 November 2023 |
| 22 September 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 2 November 2023 |
| 28 April 2021 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0680 | Quality of Life and Care Deficiencies | Ensure the activities program is directed by a qualified professional. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide 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. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have 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. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0776 | Administration Deficiencies | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | No | Deficient, Provider has date of correction | 7 July 2021 |
| 28 April 2021 | Health | F 0886 | Infection Control Deficiencies | Perform COVID19 testing on residents and staff. | F | No | Deficient, Provider has date of correction | 7 July 2021 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 14 January 2025 | Fine | $8,278 | 98244 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | HERITAGE VILLA HEALTHCARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Washington |
| Telephone Number | 9183353222 |
| Chain Name | MGM HEALTHCARE |
| Chain ID | 348 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 100 |
| Average Number of Residents per Day | 87.4 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
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 HERITAGE VILLA CARE & REHAB CENTER: 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: ALLEN KOSS no longer appears as OTHER in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for HERITAGE VILLA CARE & 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 Oklahoma 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.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 375109.